Prior Authorization Assistant

Job Summary

Supporting patient care and safety practices, the full-time Prior Authorization Assistant will process health plan utilization review requirements, including managed care referrals and pre-certifications, primarily in a remote setting with some onsite orientation and meetings.

Key responsibilities

• Process managed care referrals, pre-certifications, and prior authorizations accurately and timely
• Collaborate with internal physicians, staff, and external healthcare providers to ensure quality patient care
• Implement and support patient safety practices while demonstrating Family Centered Care principles

Required qualifications

• Associate's degree in Health Information Technology or a related healthcare program preferred
• At least 1 year of relevant healthcare experience in lieu of education
• Minimum 1 year of experience in prior authorization preferred
• Knowledge of healthcare and medical practices preferred