Prior Authorization Assistant

Job Summary

Supporting the Prior Authorization team, the part-time Prior Authorization Assistant will process health plan utilization review requirements, including managed care referrals and pre-certifications, while primarily working remotely with occasional onsite meetings and training.

Key responsibilities

• Process managed care referrals, pre-certifications, and prior authorizations in a timely and accurate manner
• Collaborate with internal physicians, staff, and external healthcare providers to facilitate quality patient care
• Implement patient safety practices and demonstrate Family Centered Care principles in interactions with patients and families

Required qualifications

• Associate's degree, preferably in Health Information Technology (HIT) or a related healthcare program
• One year of relevant healthcare experience may substitute for education
• Minimum of one year of experience in prior authorization preferred
• Knowledge of healthcare and medical practices preferred