New York Licensed Prior Authorization Specialist

Job Summary

A company is looking for a Remote Prior Authorization Specialist to manage insurance authorization requests efficiently.

Key Responsibilities

• Review, submit, and track prior authorization requests for medical procedures, medications, and services
• Verify patient insurance coverage and eligibility for requested services
• Monitor authorization statuses and update patient records accurately in EHR/EMR systems

Required Qualifications

• Prior experience in healthcare administration, prior authorizations, medical billing, or insurance verification
• Working knowledge of medical terminology, CPT and ICD-10 codes, and payer authorization requirements
• Highly organized and detail-oriented
• Comfortable working independently in a remote environment
• Proficiency with EHR/EMR systems and insurance portals