Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Billing Coordinator.

Key Responsibilities

• Manage revenue cycle processes including prior authorizations and insurance claims submission
• Verify benefits, assist patients with financial assistance programs, and coordinate drug procurement
• Conduct insurance verification, maintain quality standards, and generate financial trend reports

Required Qualifications

• High School completion or GED required
• Preferred knowledge in medical terminology, medical billing, and CPT/ICD coding
• Experience in direct customer service is preferred
• HIM certification or registration and/or registered pharmacy technician preferred
• No prior job-related work experience required