Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorizations Specialist.

Key Responsibilities

• Obtain timely prior authorizations from various insurance plans following established policies
• Select and review pertinent medical records from patients' charts and verify insurance information
• Document all prior authorization follow-ups and maintain confidentiality in accordance with HIPAA regulations

Required Qualifications

• High School Diploma or GED
• At least 5 years of experience in processing prior authorizations
• A minimum of 2 years of experience communicating with insurance companies via phone
• Familiarity with medical terminology
• Basic computer literacy and strong teamwork capabilities