Prior Authorization Specialist

Job Summary

Ensuring accurate information collection, the full-time remote Prior Authorization Specialist will verify insurance coverage, collect patient demographics, and resolve billing-related issues while maintaining a high level of customer service.

Key responsibilities

• Verify insurance coverage and pre-authorization requirements
• Collect and enter patient demographics and insurance information into electronic medical records
• Resolve insurance and billing-related issues while adhering to HIPAA regulations

Required qualifications

• High School Diploma or Equivalent required
• 2-3 years of experience in a healthcare setting, focusing on patient access and registration
• Knowledge of medical terminology and insurance verification procedures
• Strong customer service skills with the ability to resolve complaints professionally
• Ability to work effectively in a fast-paced, team-oriented environment