Lead Pre-Authorization Specialist

Job Summary

Leading daily activities in the Revenue Cycle Pre-Authorization department, the full-time Lead Pre-Authorization Specialist will ensure high-quality customer service and improve revenue cycle activities for prior authorizations, while working remotely during standard daytime hours.

Key responsibilities

• Monitors daily activities of the Prior Authorization department to maintain quality and timely communication regarding patient authorizations
• Assists in training and onboarding new and existing staff on operations and changes to authorization requirements
• Conducts audits to identify authorization errors and provides feedback to improve processes and employee performance

Required qualifications

• High School Diploma or G.E.D
• At least 1 year of customer service experience, preferably in front-line healthcare
• Knowledge of regulatory and third-party payer guidelines for authorizations
• Experience in training and mentoring staff
• Ability to effectively communicate with various departments and leadership contacts