Must-Haves:
Heavy prior authorization experience (daily, high volume)
Epic/APeX experience specifically for auths, referrals, WQs
Specialty clinic background (orthopedics strongly preferred; surgery/pain/other specialties acceptable)
High-volume clinic experience (100+ calls/day or heavy WQs)
Multi-provider scheduling + surgery scheduling exposure
Strong communication, detail orientation, and reliability
Nice-to-Haves:
Experience in major systems: UCSF, Stanford, Sutter, PAMF
Imaging authorization experience (MRI/CT/X-ray)
Pre-op coordination (labs, clearances, documentation)
Do NOT Submit If:
Only MA clinical experience (no admin focus)
Only call center or customer service background
Epic experience outdated or minimal (pre-2021 or basic check-in only)
No prior authorization history
Only insurance verification or basic referrals
Failed probation in similar roles
No specialty clinic experience
Job duties: Front desk, Back office, PC, Surgery scheduling
Soft skills/characteristics needed: Well organized, excellent communication, must be proficient in Epic/APeX and Microsoft Office Suite. Able to multitask and be detail oriented.
Estimated number of patients in clinic per day or calls per day if call center: 30-50
Specific number of year's experience? A college degree with 6 months of experience or 2 years of healthcare admin experience
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