Oregon Licensed Prior Authorization Specialist

Job Summary

Coordinating and facilitating the authorization process for patients, the full-time Oregon Licensed Prior Authorization Specialist will efficiently obtain medical procedure authorizations, process clinical documentation for insurance carriers, and communicate with clinical staff while working remotely within Oregon.

Key responsibilities:

• Efficiently obtain all authorizations for medical procedures prior to scheduled dates of service
• Process authorizations and submit clinical supporting documentation to insurance carriers
• Monitor authorization requests to ensure timely processing and completion, communicating approvals and denials to the ordering physician

Required qualifications:

• High School Diploma/GED or equivalent work experience
• 2+ years of experience in a medical office
• 2+ years of experience interacting with insurance companies
• 2+ years of experience in ICD-10 and CPT coding knowledge
• Computer proficiency, including Microsoft Outlook and basic skills in Microsoft Word and Excel