Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist I.

Key Responsibilities

• Screen and process prior authorization requests for medical services
• Coordinate financial clearance activities and verify patient eligibility
• Collaborate with providers and departments to ensure timely authorization and resolution of inquiries

Required Qualifications

• High school diploma or GED required; Associate's Degree preferred
• 4-5 years of experience in a high-volume data entry, customer service, or healthcare setting
• Experience with insurance verification and prior authorization processes
• Bilingual candidates preferred
• Knowledge of medical terminology and basic coding is helpful