Prior Authorization Assistant

Job Summary

A company is looking for a Prior Authorization Assistant - Health Systems/Post-Acute.

Key Responsibilities

• Review and verify insurance information and patient eligibility for prior authorizations
• Communicate with hospital teams, post-acute providers, and outpatient specialists to gather required documentation
• Submit prior authorization requests to payors and monitor authorization requests for timely processing

Required Qualifications

• 4+ years of prior authorization experience in hospital-based and/or post-acute care settings
• Hands-on experience working in Epic
• Experience across multiple specialties is a plus
• Familiarity with major payors such as UnitedHealthcare, Aetna, and BCBS
• Strong understanding of complex care transitions and authorization nuances