Prior Authorization Coordinator - Full Time

Join our Team!

DMC Primary Care, a physician-owned, independent practice with offices throughout New Hampshire, has been providing comprehensive care for entire families since 1964. We help each patient achieve the best possible health through every stage of life.  We do this by providing an accessible, innovative healthcare experience that is built around our patient’s needs.

We are seeking a full time Prior Authorization Coordinator. The successful candidate will have a minimum of two years of medical office experience and be energetic, compassionate and extremely detail oriented. This position functions as an integral member of the DMC team. Medical Assistants are encouraged to apply.

Essential Duties:

• Request and provide medical information to and from patient care providers in strict accordance with HIPAA and all policies and procedures.
• Complete accurate prior authorization requests for medications, sleep studies, imaging, and additional testing and procedures.
• Answer calls from our patient service center, pharmacies, Derry Imaging Center and clinical staff regarding medication or testing precertification requirements.
• Accurately communicate and document prior authorization information into the EMR.
• Work with patients’ insurance companies to begin and complete prior authorizations on their behalf.

Necessary Skills:

• Experience with prior authorizations for therapeutic pain injections, such as Lumbar Epidural Steroid Injections (ESI’s), Facet Steroid Injections and Sacroiliac Joint Steroid Injections.
• Experience with prior authorizations for infusions, such as Fereheme, Prolia, Euflexxa, Reclast.
• Experience with prior authorizations for contraceptives, such as Nexplanon and other IUDs.
• Ability to multitask, establish and rearrange priorities in a fast-paced environment.
• Above-average patience, empathy and compassion when working with patients.
• Demonstration of exceptional organizational and interpersonal skills.
• Team-oriented mindset.
• Demonstration of ethical and professional conduct, including the ability to maintain confidentiality (HIPAA).
• Strong computer skills.

Minimum Qualifications:

• Minimum of two years medical office experience required.
• Minimum of two years EMR experience required.
• Knowledge of medical terminology required.
• High school diploma or GED required.
• Knowledge of medications and imaging/radiology strongly preferred.
• Experience in insurance portals and authorizations preferred.

This full-time, 40 hour per week position in Derry offers:

• Regular hours Monday – Friday from 8:00 am to 5:00 pm.
• Competitive salary.
• Medical, dental, paid time off and 401K.

DMC has offices in Bedford, Concord, Derry, Dover, Goffstown, Londonderry, Raymond, and Windham, New Hampshire. For more information, please visit www.DMCPrimaryCare.com.

We are an equal opportunity employer embracing the strength that diversity brings to the workplace. We provide a welcoming and supportive environment for employees of all ethnic backgrounds, cultures, ages, lifestyles and physical abilities.