Patient Encounter Specialist
ovphealthcare
Full Time
Prior Authorization & Verification Specialist
ovphealthcare· Administrative
About this role
Primary Job Functions
- Responsible for reviewing, submitting, monitoring, and responding to issues regarding medication prior authorizations.
- Reviews patient medical history to identify supporting documentation in the patient chart relevant to the medication.
- Professionally communicates with prescribers, practice support staff, patients, and representatives of insurance companies; includes oral and written communication.
- Responsible for contacting insurance companies via appropriate method to obtain prior authorization.
- Updates information in the patient medical record with approval or declination information; follows up with ordering physician as to status of prior authorization.
- Efficiently tracks pending authorizations for multiple offices/prescribers.
- Creates a positive, professional, service-oriented work environment for staff, patients, and family members by supporting the mission and values of OGG.
Secondary Job Functions:
- Maintain confidentiality of patient and financial information by utilizing HIPPA guidelines and regulations.
- Responsible for reviewing, submitting, planning, and tracking of referrals made by clinic providers.
- Adheres to all Federal, State, and Local laws and regulations as well as policies.
Knowledge, Skills, and Abilities
- Knowledge of third-party payers and prior authorization requirements
- Understanding of basic medical terminology and medications
- Proficient use of office equipment, such as copier, fax machine, phones, etc.
- Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical record systems.
- Strong time management skills
- Ability to work independently with minimal supervision and to manage multiple priorities.
Credentials and Experience
Must have a high school diploma or equivalent.- One (1) year of experience and relevant knowledge of insurance eligibility or prior authorization in a healthcare setting preferred.
- Certified pharmacy technician, certified medical assistant, or licensed practical nurse preferred.
Frequently Asked Questions
Is the salary disclosed for the Prior Authorization & Verification Specialist position at ovphealthcare?
The salary for this Prior Authorization & Verification Specialist role at ovphealthcare is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Prior Authorization & Verification Specialist position at ovphealthcare located?
This Prior Authorization & Verification Specialist role at ovphealthcare is based in Huntington, West Virginia, United States, Hybrid. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Prior Authorization & Verification Specialist role at ovphealthcare full-time or part-time?
This is listed as a Full Time position. It is posted as a Prior Authorization & Verification Specialist role in the Administrative department at ovphealthcare.
Which team or department does the Prior Authorization & Verification Specialist at ovphealthcare belong to?
This Prior Authorization & Verification Specialist position is part of the Administrative department at ovphealthcare. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Prior Authorization & Verification Specialist position at ovphealthcare?
Click the "Apply Now" button on this page. You will be redirected to ovphealthcare's official application portal hosted on bamboohr where you can submit your application directly.
When was the Prior Authorization & Verification Specialist job at ovphealthcare posted?
This Prior Authorization & Verification Specialist position at ovphealthcare was posted on Jun 1, 2026. Apply as soon as possible — early applications are often reviewed first.
Prior Authorization & Verification Specialist
ovphealthcare
You'll be redirected to ovphealthcare's official application page on bamboohr.