Referral & Prior Authorization Associate
Updated on 1/25/2024
Parsley Health

51-200 employees

Primary healthcare provider focusing on root-cause analysis
Company Overview
Parsley Health stands out in the healthcare industry with its unique approach to primary care, focusing on the root cause and treating the whole person, rather than just the symptoms. The company leverages data and technology to enhance doctor-patient relationships, providing a competitive edge in the healthcare sector. With its industry-leading approach, Parsley Health offers a dynamic and fulfilling work environment for those seeking to make a significant impact in primary care.
Data & Analytics

Company Stage

Series C

Total Funding

$144M

Founded

2016

Headquarters

New York, New York

Growth & Insights
Headcount

6 month growth

-18%

1 year growth

-26%

2 year growth

-32%
Locations
Remote in USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Communications
CategoriesNew
Medical, Clinical & Veterinary
Requirements
  • 2+ years in health care processing of prior authorizations and insurance
  • Bachelor’s degree or equivalent preferred
  • Knowledge of insurance process and medical terminology
  • Excellent oral and written communication skills
  • Flexibility and ability to adapt quickly
  • Professional, but friendly demeanor
  • Attention to detail and organizational skills
Responsibilities
  • Manage referrals for members and coordinate appointments
  • Ensure clinical documentation from patient visits outside of PH are returned to the appropriate clinical team
  • Process referrals and submit medical records to insurance carriers
  • Manage correspondence with insurance companies, physicians, specialists, and patients
  • Assist with medical necessity documentation and approvals
  • Review accuracy and completeness of information requested
  • Support patients with unexpected large lab bills
  • Create medical invoices for potential reimbursement for out-of-network members
  • Draft FSA/HSA letters for members
  • Track data on approvals and denials for referrals and authorizations Parsley wide
  • Assist with creating SOPs and workflows related to Referrals/Insurance/PAs
  • Process and send appeals to appropriate entities
Desired Qualifications
  • Equity Stake
  • 401(k) + Employer Matching program
  • Remote-first with the option to work from one of our centers in NYC or LA
  • Complimentary Parsley Health Complete Care membership
  • Subsidized Medical, Dental, and Vision insurance plan options
  • Generous 4+ weeks of paid time off
  • Annual professional development stipend