Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist responsible for managing the prior authorization process.

Key Responsibilities

• Collect necessary documentation and contact clients for additional information to complete prior authorization requests
• Submit timely and accurate prior and retro authorization requests to payors while documenting account activity
• Provide high-level customer service to clients, insurance companies, and sales representatives regarding prior authorizations

Required Qualifications

• Minimum 2 years of customer service experience in the healthcare industry
• Proficiency in the XIFIN system is preferred
• Proficiency in the Glidian system is preferred
• Ability to organize systematic paper and electronic files
• Ability to work in a fast-paced team environment