Prior Authorizations Specialist

Job Summary

A company is looking for a Prior Authorizations Specialist.

Key Responsibilities

• Obtain prior authorizations and pre-certifications from various insurance plans following established protocols
• Select and verify medical records and demographic information from patients' charts
• Document all prior authorization processes and maintain confidentiality in accordance with HIPAA regulations

Required Qualifications

• High School Diploma or GED
• At least 5 years of experience in processing prior authorizations
• Minimum of 2 years of experience communicating with insurance companies
• Familiarity with medical terminology
• Basic computer literacy and strong teamwork capabilities