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Authorization Coordinator De La Pena Eye Clinic Commerce

Job ID: 2503031518 Date posted: 10/27/2025 Facility: TPR/CPM Staff

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Embark on a rewarding career with Tenet Physician Resources. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off
Career development and continuing education opportunities
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Description

The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patients scheduled at the practice.

The Prior Authorization Specialist is responsible for reviewing prior authorization requests and following and established process.

This position manages a high call volume of prior authorization services.

The position reviews schedules with multiple patient's appointments, verifies or obtains authorization and document authorization information.

Communicate authorizations and denials to ordering physicians.

Keep records of schedules and authorization requests.

The person who fills this position is required to maintain a working knowledge of Managed Care Contracts as well as insurance requirements for authorizations, notifications or referrals.

2503031518

Responsibilities:

The Prior Authorization Specialist responsibilities may include, but are not limited to:

1. Applying medical knowledge and experience for prior authorize requests

2. Performing detailed medical reviews of prior authorization request or assessment forms according to established criteria and protocols

3. Managing incoming authorization requests and inquiries via fax, computer, telephone, or mail

4. Maintaining accurate documentation on all requests and documenting in the appropriate computer application

5. Initiating direct communication with health care providers involved with the care of the member to obtain complete and accurate information

6. Identifying prior auth requirements by insurance/payer and processes and completes prior authorizations for scheduled and add on services.

7. Determining if services are a covered benefit and documents pre-authorization information in EMR.

8. Serves as a resource to clients

9. Performs other duties as requested or assigned

10. This role excludes performing any clinical tasks related to patient, to include assessment or evaluation of patient’s medical condition or providing clinical advice or medical care or recommendations

11. Demonstrated knowledge of potential exposure to hazardous materials (i.e. patient body fluids, disinfectant chemicals) and location of SDS sheets

12. Participates in QAPI and Safety Program

Qualifications

Education: High school education or equivalent. Associates degree preferred

Experience: At least one year in Scheduling in a healthcare environment is required

Knowledge & Skills

Knowledge of anatomy and physiology, medical terminology and disease processes.

Organized, detail oriented and able to manage competing priorities.

Excellent typing and computer usage skills, including Microsoft Word and Excel proficiency.

Knowledge of medical insurance terminology, medical benefits, and billing process.

Experience with online benefit verification, working with insurance companies, and knowledge of various types of coverage and policies.

Maintain accurate patient insurance records.

Good judgement and must have excellent multitasking skills.

Resourcefulness in problem solving.

Ability to work independently, give attention to detail, prioritize and perform several tasks together without losing concentration.

Effective communication skills, written and verbal.

Ability to relate with people of diverse backgrounds, provide excellent customer service and solutions to problems.

Tenet Physician Resources (TPR) provides the ability for physicians to focus on what matters most - compassionate care to the communities we serve - while we manage the day-to-day operations. TPR offers a wide range of opportunities for professionals to meet career expectations at every stage of life. Practices employ physicians, medical assistants and administrative staff to work in environments with advanced medical equipment, robust data and technology.

2503031518

Pay Range: $24.00- $34.80 hourly **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify