_**RedValley,**_ the coolest and fastest-growing company, is seeking an experienced _**Senior Prior authorization specialist**_ to join our new medical team You will be responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, and coordinating patient appointments/orders. **What You'll Do** - Review chart documentation to ensure the patient meets medical policy guidelines - Prioritize incoming authorization requests according to the urgency - Obtain authorization via the payer website or by phone and follow up regularly on pending cases - Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations - Initiate appeals for denied authorizations - Respond to clinic questions regarding payer medical policy guidelines - Confirm the accuracy of CPT and ICD-10 diagnoses in the procedure order - Contact patients to discuss authorization status - Other duties as assigned, aligned with the job responsibilities **What You'll Bring To The Team** - Strong spoken and written English C1+ - 3+ Years of Experience in prior authorizations - 3+ Years of Experience in the healthcare industry - Experience with procedure authorizations in any medical field - Basic typing and keyboarding skills - Strong oral and written communication skills - Highly detail-oriented - Basic understanding of human anatomy, specifically musculoskeletal - Proficient use of CPT and ICD-10 codes **We Offer You** - Opportunities to work in a fast-paced startup environment supportive of teamwork, ownership, and purpose. - Flexible working environment (flexible working hours, working from our state-of-the-art office space in El Poblado). - One-of-a-kind company values and teamwork culture as well as a meaningful mission and challenging work. - Private health insurance for you plus a family member. - 50% discount on lunch with our partnered restaurant **Salary**: $2,800,000 per month