Prior Authorization Specialist

Job Summary

Completing prior authorization workflows under general supervision, the full-time Prior Authorization Specialist I will submit requests, verify benefits, and track authorization status while collaborating with various departments in a virtual environment.

Key responsibilities

• Submit prior authorization requests using standard payer workflows
• Verify basic benefits, coverage, and authorization requirements
• Track authorization status and update Epic accurately

Required qualifications

• High School Diploma or GED required
• No prior experience required
• Foundational understanding of payer types and referral/authorization concepts
• Ability to follow standardized workflows and documentation requirements
• Developing proficiency in Epic and payer portals