What are the key responsibilities of a Prior Authorization Specialist at One Medical?

As a Prior Authorization Specialist at One Medical, your main responsibilities will include managing complex insurance authorizations for various healthcare services, including referrals, procedure orders, and prescription prior authorizations. You'll also assist providers with urgent tasks and ensure compliance with service level agreements, handling a significant volume of tasks each week.

What qualifications are needed to become a Prior Authorization Specialist at One Medical?

To qualify for the Prior Authorization Specialist position at One Medical, you should have at least 2 years of experience managing referrals and insurance portals, or at least 1 year in a patient-centered administrative role. Familiarity with Electronic Medical Record (EMR) systems and a background in national healthcare organizations are also preferred.

What does the work environment look like for the Prior Authorization Specialist role at One Medical?

The work environment for a Prior Authorization Specialist at One Medical is fast-paced and collaborative. You’ll work alongside dedicated professionals committed to improving patient experiences, and you'll be encouraged to contribute to process improvements and foster a culture of accountability and performance.

How does One Medical support its Prior Authorization Specialists in their roles?

One Medical supports its Prior Authorization Specialists through continuous training and development opportunities, a collaborative team culture, and by empowering employees to take ownership of their work. This role also emphasizes the importance of analyzing workflow and implementing efficient processes.

What are the performance expectations for a Prior Authorization Specialist at One Medical?

Performance expectations for a Prior Authorization Specialist at One Medical include meeting compliance with service level agreements, consistently exceeding performance targets, and managing over 200 tasks per week. You'll be expected to handle complex authorizations efficiently while maintaining a patient-centered focus.

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Prior Authorization Specialist, One Medical, Mission Control ID-9621

March 28, 2025

Description

At Amazon One Medical, our goal is to provide the most patient-centered care in healthcare, and to achieve this, we need exceptional, talented, and driven individuals. If you're passionate about helping us create the best healthcare experience for our patients, this is your opportunity to make a meaningful impact.

As a member of the Amazon One Medical Advanced Tasking team, you'll be part of a dynamic, fast-paced environment filled with individuals who are deeply committed to our mission of providing world-class service to patients. Our teams strive for excellence, never settling for the status quo, and thrive in managing high-volume tasks.

Other Jobs You May Be Interested In

Basic Qualifications

- A minimum of 2 years managing referrals and navigating complex insurance portals and orders OR at least 1 year of in-depth back-end administrative experience in a patient-centered role within a multi-state primary healthcare company.
- Experience working in a national healthcare organization with an understanding of regional complexities.
- Proficiency in working with various Electronic Medical Record (EMR) systems.

Preferred Qualifications

- Experience working in a high-performance department with strong accountability for meeting metrics and ownership of results.
- Demonstrates a positive, collaborative attitude with strong team engagement and an action-oriented mindset.

Amazon is committed to a diverse and inclusive workplace. Amazon is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company’s reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.

Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $49,920/year in our lowest geographic market up to $56,160/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutamazon.com/workplace/employee-benefits. This position will remain posted until filled. Applicants should apply via our internal or external career site.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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DISCLAIMER

Prior Authorization Specialist, One Medical, Mission Control ID-9621

Description

Other Jobs You May Be Interested In

Basic Qualifications

Preferred Qualifications

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

5. HOW DO YOU PROCESS INFORMATION?

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

8. HOW TO PRIORITIZE WORK?

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?