Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist I (Part-Time).

Key Responsibilities

• Screen and process prior authorization requests for various medical services
• Coordinate financial clearance activities, including insurance verification and obtaining necessary authorizations
• Collaborate with patients, providers, and departments to ensure compliance with prior authorization requirements

Required Qualifications

• High school diploma or GED required; Associate's Degree or higher preferred
• 4-5 years of office experience, preferably in a healthcare setting
• Experience with insurance verification, prior authorization, and financial clearance processes
• Familiarity with insurance payer websites and medical terminology is beneficial
• Bilingual candidates preferred