Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Assistant to support healthcare operations through processing prior authorizations and collaborating with teams.

Key Responsibilities

• Review and verify insurance information and patient eligibility for prior authorizations
• Communicate with healthcare providers to gather necessary medical documentation and submit prior authorization requests
• Monitor and track authorization requests, ensuring timely processing and resolution

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
• Experience in client relationships and hands-on leadership roles is a plus
• Ability to adapt to evolving workflows and leverage AI-powered tools
• Strong attention to detail and a process-driven mindset