**RedValley, the coolest and fast-growing company**, is seeking a _Prior Authorizations Agent_ for our new medical team! This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, and coordinating patient appointments/orders. **What You'll Do** - Review chart documentation to ensure the patient meets medical policy guidelines - Prioritize incoming authorization requests according to the urgency - Obtain authorization via the payer website or by phone and follow up regularly on pending cases - Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations - Initiate appeals for denied authorizations - Respond to clinic questions regarding payer medical policy guidelines - Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order - Contact patients to discuss authorization status - Other duties as assigned **What You'll Bring to the Team** - Strong spoken and written English (C1 or better). - Experience with procedure authorizations in any medical field. - Basic typing and keyboarding skills. - Strong oral and written communication skills. - Good interpersonal and organizational skills. - Highly detail-oriented. - Basic understanding of human anatomy, specifically musculoskeletal - Proficient use of CPT and ICD-10 codes **What You'll Get Working With Us** - Opportunities to work in a fast-paced startup environment supportive of teamwork, ownership, and purpose. - Flexible working environment (flexible working hours, working from our state-of-the-art office space in El Poblado). - One-of-a-kind company values and teamwork culture as well as a meaningful mission and challenging work. - Private health insurance for you plus a family member. - The opportunity to create an impact in Medellin (and the world) is real. Our newest venture, a non for profit foundation called RVLOVE, is providing real opportunities and resources to those in underserved areas in Medellín. - Subsidized breakfast & lunch at our very own RedValley Café. Tipo de puesto: Tiempo completo Salario: $3.000.000 - $3.500.000 al mes Idioma: - Ingles (Obligatorio)