Job Description

Join a Team That Keeps Patient Care Moving:

Heart & Vascular Wellness Center is looking for an experienced, dependable, and highly organized Front Office & Prior Authorization Specialist to join our team. This is a great opportunity for someone who enjoys working in a fast-paced specialty practice and understands how critical front office operations, insurance verification, and prior authorizations are to the patient experience.

We are seeking someone who can confidently manage patient-facing front desk responsibilities while also taking ownership of prior authorizations as a primary focus of the role. The right candidate will be detail-driven, proactive, professional, and comfortable working with providers, clinical staff, patients, and insurance carriers to help ensure smooth and timely care.

If you have strong medical front office experience, know how to navigate insurance requirements, and take pride in keeping things accurate and moving forward, we would love to hear from you.

What You Will Do:

Front Office Responsibilities:

• Greet and check in/check out patients in a warm, professional, and friendly manner.
• Answer incoming phone calls and assist patients with scheduling and general questions.
• Schedule and reschedule appointments accurately and efficiently.
• Collect copays, balances, and update patient demographic information.
• Maintain complete and accurate patient records in the EMR.
• Support daily front desk workflow and help keep patient flow running smoothly.

Prior Authorizations:

Primary Focus of This Role:

• Submit prior authorizations for cardiology tests, imaging, procedures, and surgeries, including: 
  • Echocardiograms.
  • Stress Tests.
  • Holter Monitors.
  • Event Monitors.
  • Nuclear Studies.
  • Cardiac CT / MRI.
  • Procedures and surgeries.
• Follow up on pending authorization requests and respond with urgency.
• Track approvals, denials, and payer responses.
• Communicate authorization status clearly with providers and clinical staff.
• Maintain accurate authorization logs and ensure timely completion.
• Help prevent treatment delays by staying ahead of payer requirements.

Insurance Verification Responsibilities:

• Verify insurance eligibility before appointments.
• Confirm benefits, copays, deductibles, and authorization requirements.
• Identify referral requirements and obtain referrals when needed.
• Contact insurance carriers to resolve eligibility or coverage issues.
• Accurately document verification details in the EMR.

What We Are Looking For:

• Minimum 2–3 years of medical front office experience.
• Extensive prior authorization experience required.
• Insurance verification experience required.
• Cardiology or specialty practice experience preferred.
• Knowledge of major insurance types and payers, including: 
  • Medicare.
  • Medi-Cal.
  • HMO/PPO.
  • Commercial insurance.
• Strong attention to detail and accuracy.
• Excellent communication and follow-up skills.
• Ability to multitask and stay organized in a fast-paced environment.
• EMR experience required; eClinicalWorks preferred but not require.

What Makes You a Strong Fit:

• You are professional, calm, and patient-focused.
• You know how to keep multiple tasks moving without losing accuracy.
• You are comfortable working with insurance carriers and resolving issues.
• You take initiative and follow through.
• You understand that both the front desk and authorization process are critical to patient care and practice success.

Why Join Heart & Vascular Wellness Center:

At Heart & Vascular Wellness Center, we know that great patient care depends on strong operational support. We are looking for team members who are reliable, engaged, and committed to excellence. In this role, your work will directly support access to care, provider efficiency, and the overall patient experience.

Equal Employment Opportunity:

Heart & Vascular Wellness Center is an equal opportunity employer. We are committed to providing a workplace free of unlawful discrimination and harassment and to making employment decisions based on qualifications, merit, and business needs.

Reasonable Accommodation:

Heart & Vascular Wellness Center is committed to complying with all applicable laws regarding reasonable accommodations for qualified individuals with disabilities. Applicants who require a reasonable accommodation during the application or interview process should notify the company so that an appropriate accommodation can be arranged.

At-Will Employment:

Employment with Heart & Vascular Wellness Center is at-will. This means that either the employee or the company may terminate the employment relationship at any time, with or without cause or notice, subject to applicable law. Nothing in this posting should be interpreted as creating a contract of employment.

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