Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist I - Per Diem.

Key Responsibilities

• Screen and process prior authorization requests, including authorizing specified services according to departmental guidelines
• Coordinate financial clearance activities, including insurance verification and obtaining necessary referrals
• Communicate with providers and patients to resolve inquiries related to prior authorizations and ensure compliance with policies

Required Qualifications

• High school diploma or GED required; Associate's Degree or higher preferred
• 4-5 years of office experience in a high-volume data entry, customer service, or healthcare setting
• Experience with insurance verification, prior authorization, and financial clearance processes
• Knowledge of medical terminology and familiarity with insurance payer websites
• Bilingual preferred