Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist to support the Patient Access department with insurance verification and prior authorization requests.

Key Responsibilities

• Contact payers for eligibility and benefit information, including authorization requirements
• Submit complete and accurate authorization requests and follow up on pending requests
• Maintain documentation of authorization activity and stay current on payer requirements

Required Qualifications

• High School Diploma or GED
• 2 years of experience in prior authorizations in ortho, cardio, or diagnostic imaging
• 5 years of experience in prior authorizations, clinical interpretation, and medical terminology
• Strong computer literacy, including Microsoft Office Suite and EMR/EHR systems
• Certified Medical Assistant preferred