Prior Authorization Specialist

Job Summary

Supporting prior authorization and referral processing activities, the full-time temporary Prior Authorization Specialist will review incoming requests, identify missing information, and coordinate with healthcare providers while working remotely.

Key responsibilities

• Review incoming authorization requests and supporting documentation for completeness
• Identify and communicate missing or incomplete information required for processing authorization requests
• Accurately document authorization and referral activity within applicable systems while managing a high-volume workload

Required qualifications

• High School Diploma or equivalent
• 2-4+ years of experience in prior authorization processing, referrals, or healthcare operations
• Experience with EMR systems, authorization platforms, and Microsoft Office tools
• Understanding of payer guidelines and authorization requirements
• Ability to manage high-volume workloads and meet turnaround time requirements