Authorization & CoverMyMeds Specialist

About Us:
Sosa Dental and Medical is a patient-centered medical practice dedicated to providing compassionate, efficient, and high-quality care. We are currently seeking an experienced Medical Receptionist with strong skills in managing CoverMyMeds and prior authorization processes to join our administrative team.

Position Overview:
The Medical Receptionist will be the first point of contact for patients while also playing a key role in ensuring timely medication access through prior authorization management. The ideal candidate is detail-oriented, tech-savvy, and familiar with electronic medical record systems and pharmacy workflows.

Key Responsibilities:

• Greet and assist patients in person and by phone with professionalism and empathy.
• Manage appointment scheduling, patient check-in/out, and insurance verification.
• Process and track medication prior authorizations using CoverMyMeds and other payer portals.
• Communicate with pharmacies, providers, and insurance companies to resolve medication access issues.
• Maintain accurate documentation of all prior authorization activities in the patient’s chart.
• Support clinical staff with administrative tasks as needed (faxing, scanning, data entry, etc.).
• Protect patient privacy and maintain HIPAA compliance at all times.

Qualifications:

• High school diploma or equivalent required; associate degree or medical office certification preferred.
• Minimum 1–2 years of medical office or pharmacy experience.
• Proficiency with CoverMyMeds and understanding of the prior authorization process required.
• Familiarity with EHR systems (e.g., Epic, Athenahealth, NextGen, etc.).
• Excellent communication, organizational, and multitasking skills.
• Strong attention to detail and ability to work independently.

Job Type: Full-time

Pay: $15.00 - $17.00 per hour

Benefits:

• 401(k)
• Health insurance
• Paid time off

Work Location: In person