Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist responsible for obtaining authorizations for various medical services as part of the Revenue Cycle Department.

Key Responsibilities

• Monitor schedules and reports to identify appointments and procedures requiring authorization
• Verify insurance eligibility, benefits, and complete referrals and prior authorizations in a timely manner
• Communicate with patients and healthcare staff to resolve issues related to authorization requests

Required Qualifications, Training, and Education

• High School Graduate/GED required
• Vocational/Technical School/Diploma Program preferred
• 2-4 years of related experience preferred
• Experience with standard office equipment and technology in a Windows-based environment required
• Knowledge of insurance carrier guidelines and clinical policies related to prior authorization