Prior Authorization Specialist

Job Summary

To support a top-tier healthcare organization, the Remote Prior Authorization Specialist will manage prior authorization processing and referrals while working a 3+ month contract with the possibility of extension or conversion.

Key responsibilities:

• Coordinate fax communications for authorization requests and referrals
• Review requests to ensure compliance with payer guidelines and identify missing information
• Maintain accurate documentation and effectively communicate with providers and internal teams

Required qualifications:

• 2-4+ years of experience in prior authorization processing or healthcare operations
• Understanding of payer guidelines, authorization requirements, and basic medical terminology
• Familiarity with compliance standards and audit processes
• Experience in a fast-paced, high-volume environment with a focus on accuracy
• Proficiency in EMR systems, authorization platforms, and Microsoft Office tools