Prior Authorization Specialist

Job Summary

Detail-oriented and organized, the full-time Prior Authorization Specialist will serve as a key liaison between healthcare providers, patients, and insurance payers to secure necessary authorizations for services and procedures, ensuring timely access to care while working remotely in select states.

Key responsibilities

• Verify provider orders, patient demographics, and insurance coverage to ensure accurate registration and authorization processing
• Obtain and document required prior authorizations in accordance with payer requirements and clinical documentation guidelines
• Collaborate with various stakeholders to gather necessary information and resolve authorization issues

Required qualifications

• A minimum of three years of customer service, healthcare administration, or related business experience
• Previous experience in a hospital, physician practice, clinic, or healthcare setting preferred
• Strong organizational skills with the ability to manage multiple priorities and deadlines
• Commitment to accuracy and exceptional patient service