Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Assistant to support their AI-powered prior authorization solution in healthcare operations.

Key Responsibilities

• Review and verify insurance information and patient eligibility for prior authorizations
• Communicate with healthcare providers to gather necessary medical documentation and information
• Submit prior authorization requests to insurance companies and monitor their status for timely processing

Required Qualifications

• 4+ years of experience with prior authorization and billing in multiple specialties
• Familiarity with major payors including UnitedHealthcare, Aetna, and Blue Cross Blue Shield
• Proven experience managing client relationships and engaging with C-suite executives