Full-Time

Prior Authorization – Team Lead

Updated on 1/22/2025

Circle Medical

Circle Medical

201-500 employees

Telehealth services for virtual medical consultations

Consumer Software
Healthcare

Compensation Overview

CA$50.2kAnnually

Junior, Mid

Montreal, QC, Canada

Position requires onsite presence in Montreal, Quebec.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Customer Service

You match the following Circle Medical's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • College Degree or equivalent work-related experience.
  • 1-2 years of experience in a leadership role, demonstrating a track record of successful team management.
  • Excellent interpersonal and communication skills.
  • Proven ability to adapt to change and guide a team through various challenges.
  • Strong problem-solving and decision-making abilities.
  • English fluency; Excellent verbal and written skills, including grammar, spelling, and punctuation.
  • Ability and eagerness to adapt to a fast-paced environment and learn quickly.
  • Proficient in technology and adept at quickly mastering new systems and programs.
  • A passion for excellent customer service and problem-solving.
  • Ability to work independently and with minimal supervision.
  • Ability to work under pressure and handle multiple tasks simultaneously.
  • Prior experience in a hospitality, retail, or customer service setting.
Responsibilities
  • Act as a subject matter expert in prior authorization (PA) activities, including insurance verification, processing of PA requests, and internal team policies as related to all branches of prior authorization.
  • Provide guidance and mentorship to the prior authorization team members via coaching, quality assurance reviews, training, and development.
  • Implement strategies to meet or exceed individual and team KPIs.
  • Identify and relay changes in prior authorization and healthcare standards to management with the goal of improving internal policies to ensure compliant and efficient workflows.
  • Support development of training materials such as guides, scripts and impromptu training for team members to enhance their skills in prior authorization.
  • Review and highlight team performance regularly, providing feedback and coaching to improve productivity and efficiency, while collaborating with managers to align on performance goals and organizational objectives.
  • Involvement in onboarding and training of new team members.
  • Assist with patient escalations and workflow creation and refinement by fostering collaboration with other Patient Experience teams (including team leads, manager, and patient care advocates).
Desired Qualifications
  • Management or Leadership Studies background is a plus.
  • Prior experience as a healthcare professional, working in a healthcare facility, or working with insurance.
  • Working knowledge of medication and treatment prior authorizations, referral and imaging processes, and durable medical equipment.
  • Proven track record with other startups or VC-funded companies.
  • Ambition to have a long-term career in healthcare.
  • Experience living in the US or using the US healthcare system.

Circle Medical provides telehealth services that allow individuals to access healthcare without needing to visit a physical clinic. The company connects patients with licensed healthcare providers through secure video chat, enabling virtual consultations for general medical issues, annual wellness exams, well-woman exams, and COVID-19 testing assessments. This approach enhances accessibility and reduces the necessity for in-person visits, which is especially useful during public health crises. Circle Medical generates revenue through insurance reimbursements and out-of-pocket payments, accepting all major insurance plans and offering a transparent billing process for services not covered by insurance. The company targets tech-savvy individuals who prioritize convenience and efficiency in their healthcare, aiming to make medical consultations more accessible and streamlined.

Company Stage

Acquired

Total Funding

$12.2M

Headquarters

San Francisco, California

Founded

2015

Simplify Jobs

Simplify's Take

What believers are saying

  • Growing demand for telehealth post-COVID-19 boosts Circle Medical's market potential.
  • AI integration with HEALWELL enhances operational efficiency and patient outcomes.
  • Hybrid healthcare models offer flexibility, aligning with Circle Medical's service offerings.

What critics are saying

  • Integration challenges with HEALWELL's AI could disrupt operations if not managed well.
  • Strategic shifts from new AI leadership may impact current service delivery.
  • WELL Health's investment might lead to governance changes, causing internal disruptions.

What makes Circle Medical unique

  • Circle Medical offers both in-person and virtual healthcare services.
  • The company integrates AI to enhance electronic medical records and patient care.
  • Circle Medical accepts major insurance plans, ensuring broad patient accessibility.

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Benefits

Flexible Work Hours

Paid Vacation

Paid Sick Leave

Paid Holidays

401(k) Company Match

401(k) Retirement Plan

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Wellness Program

Mental Health Support

Professional Development Budget

Company Equity