Prior Authorization Specialist

Job Summary

To support Care Coordination services, the remote Prior Authorization Specialist will manage tasks related to prior authorizations, insurance verifications, and electronic filing of medical documents, ensuring compliance and accuracy in a fast-paced environment.

Key responsibilities:

• Process assigned tasks with a focus on accuracy, efficiency, and compliance with client protocols
• Evaluate and electronically file medical documents into patient charts using client EHR software
• Provide exemplary customer service while maintaining confidentiality and adhering to HIPAA guidelines

Required qualifications:

• High School Diploma or equivalent required
• Experience with health information management concepts, EHRs, and/or medical terminology is a plus
• Intermediate computer skills, including proficiency in Microsoft Office Suite
• Ability to navigate multiple programs and applications efficiently
• Capability to perform physical tasks such as sitting, standing, and occasionally lifting up to 25 lbs