Pre-Authorization Specialist

Job Summary

To support patient care, the full-time Pre-Authorization Specialist will analyze insurance requirements, process prior authorizations for services, and communicate outcomes to healthcare providers while working remotely during standard business hours.

Key responsibilities

• Analyzes information required to complete pre-authorizations based on multiple insurance/payer requirements
• Utilizes third-party payer/insurance portals to process pre-auth submissions and documents results in Epic
• Communicates pre-authorization approvals or denials to providers and collaborates with clinical staff to secure necessary information

Required qualifications

• High school diploma or GED
• Direct experience with insurance portals for pre-authorization processes
• Basic computer skills, including proficiency with word processing and spreadsheet applications
• Ability to maintain confidentiality and communicate professionally with diverse individuals
• Basic reading, writing, and oral communication skills in English