Authorization Research Specialist

Job Summary

A company is looking for an Authorization and Verification Research Specialist.

Key Responsibilities

• Research and document prior authorization and benefit verification requirements across diverse payors
• Investigate payor-specific submission processes, including required documents and policy updates
• Stay informed on payor policy changes affecting authorization processes and benefit structures

Required Qualifications

• Prior authorization and/or insurance verification experience at a healthcare clinic
• Deep familiarity with payor submission processes and variations across insurance plans
• Strong research skills and comfort navigating payor portals and documentation
• Experience working with multiple payors and understanding process variations
• Demonstrated ability to build or improve processes when protocols don't exist