Prior Authorization Specialist Job at Anchor Health CT, Hamden, CT

TjdhVDNBQ3JWa0U0dHZ3Ymt2amdqU2FGVnc9PQ==
  • Anchor Health CT
  • Hamden, CT

Job Description

Job Description

Job Description

About Anchor Health
Anchor Health is Connecticut's leading center for inclusive, person-centered healthcare. We deliver compassionate, evidence-based primary, behavioral, and gender-affirming care for the LGBTQ+ community and beyond. Our mission is to empower every individual to live their healthiest life through exceptional, affirming care.

At Anchor, you'll join a collaborative team redefining what inclusive healthcare looks like across Connecticut with breaking down barriers, affirming identity, and raising the standard of care for all.

The Role

This role is responsible for prior authorization workflows, patient-specific electronic fax management, and clinical support within the EPIC EMR, ensuring timely, accurate coordination across patients, providers, and clinic staff.

The ideal candidate brings strong organizational discipline, clear communication, and the ability to operate effectively in a fast-paced clinical environment. Success in this role requires attention to detail, comfort with structured processes, and a commitment to supporting reliable, patient-centered care.

Core Responsibilities
  • Complete medication and procedural prior authorizations through CoverMyMeds, payer portals, phone calls, and electronic systems.
  • Communicate with insurance companies to clarify coverage requirements, criteria, and documentation needs.
  • Collaborate with providers to gather clinical information needed for approvals.
  • Communicate with patients regarding prior authorization updates, medication issues, or required documentation.
  • Track, follow up, and document all authorization statuses to ensure timely patient access to care.
  • Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy communication.
  • Monitor, organize, and route incoming e-faxes to the appropriate clinical team members in EPIC
  • Ensure timely processing of forms, lab results, medication requests, and other clinical documents incoming from e-fax
  • Support clinic staff with administrative tasks such as scheduling, patient outreach, and medical record requests.
  • Assist in coordinating referrals, diagnostic testing, and follow-up care.
  • Maintain confidentiality and compliance with HIPAA and clinic policies.
Required Qualifications
  • 2+ years of experience with prior authorizations or insurance verification strongly preferred.
  • Certified Medical Assistant (CMA/RMA) or Pharmacy Technician (CPhT) strongly preferred.
  • Familiarity with EPIC
  • Strong communication, problem-solving, and organizational skills.
  • Ability to work both independently and collaboratively within a clinical team.
  • Knowledge of medical terminology, medications, and insurance processes

Why Join Anchor Health
Here, your work has meaning for your team, your patients, and your community. We offer competitive pay, growth opportunities, and a culture grounded in trust, respect, and collaboration. Join us in shaping the future of inclusive healthcare in Connecticut.

Apply today and help us care for every person exactly as they are.

Salary Range

The salary range for this role is $48,000- $62,000 annually.

Compensation within this range is determined based on relevant experience, licensure, skills, scope of responsibility, and internal equity. The full range reflects the potential for growth within the role; most new hires are typically placed between the minimum and midpoint of the range, depending on qualifications.

Anchor Health maintains structured salary bands and reviews compensation periodically to ensure alignment with market conditions, organizational needs, and individual performance.

Job Tags

Similar Jobs

SAUL H LEJTMAN DMD PA

Dental Assistant Job at SAUL H LEJTMAN DMD PA

 ...Job Description Job Description Looking for a DA that can take X-rays and lives within 30 minutes of my office. 30 + hours of work -M,T,W,F no Weekends Salary depending on experience. Must be personable and able to work as a team member Please send resume... 

SITE Staffing

Order Picker - 1st shift Job at SITE Staffing

 ...Job Description Hours: 7am to 3:30pm Monday through Friday Pay: $14/hour and up based on experience Job Description: Use RFID scanner to pick items for orders Responsibilities include picking orders, moving bulk, unloading containers, and keeping... 

Delaware North

Starbucks Barista, Grand Canyon Job at Delaware North

 ...North Parks and Resorts is hiring seasonal Starbucks Baristas to join our team at Starbucks in...  ...nationwide *Available for full-time, year-round team members What will you...  ...you. At Delaware North, youre not just part of a team youre part of a global legacy... 

Firman Solutions LLC

Podiatrist - Islip, NY Job at Firman Solutions LLC

 ...Job Description Seeking a Full Time Podiatrist with time split between Islip and New Hyde Park, NY locations clinics. Benefits Competitive Compensation Opportunities for Equity & Partnership Malpractice Insurance CME Allowance ... 

The Pivot Group

Test Engineer - Rockford Area Job at The Pivot Group

 ...Job Description Job Description Test Engineer | Rockford, MI Salary Range: $70,000 - $107,000 depending on experience Are you a forward-thinking professional with a passion for excelling in test engineer? The Pivot Group is committed to fostering meaningful...