Pre Authorization Specialist

Job Summary

To support reimbursement and revenue cycle activities, the full-time remote Pre Authorization Specialist II will manage benefit investigations, review payer medical policies, and oversee prior authorizations while ensuring accurate documentation and timely billing processes.

Key responsibilities

• Respond to high-volume billing tasks and inquiries related to pre-authorization processes and policies
• Collaborate with team members to develop best practices and maintain appropriate response times across various communication platforms
• Monitor and follow up on prior authorization requests to ensure timely approvals and maintain accurate records of all requests

Required qualifications

• High school diploma with 3 or more years of relevant experience
• Experience documenting healthcare authorization activities within billing or revenue cycle management systems
• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook
• Solid understanding of medical terminology, insurance guidelines, and healthcare regulations
• Ability to work remotely from a private, quiet workspace with a reliable high-speed internet connection