Prior Authorization Specialist

Job Summary

To support the implementation of the Inspire Prior Authorization Program, the fully remote Prior Authorization Specialist will manage patient information, assist with insurance verification, and track prior authorization requests while collaborating with Territory Managers and the prior authorization team.

Key responsibilities

• Manage patient information in the database and assist with insurance coverage verification
• Track and monitor prior authorization requests and related appeals through to EMR
• Provide coding information to physician customers and support continuous process improvement initiatives

Required qualifications

• 2+ years of related work experience in reimbursement
• Demonstrated knowledge of reimbursement compliance requirements
• Ability to read and interpret payer requirements related to prior authorization
• Proficient in Microsoft Office applications, including Word, PowerPoint, and Excel
• Comfortable in a small, dynamic company environment with frequent changes in direction