Remote Prior Authorization Specialist

Job Summary

A company is looking for a Remote Prior Authorization Representative.

Key Responsibilities

• Verify prior authorization requirements and obtain necessary authorizations
• Coordinate required paperwork and clinical notes for submission to support requests
• Follow up on authorization status to ensure timely processing

Required Qualifications

• Basic knowledge of payer payment processes and prior authorization procedures
• Familiarity with ICD9/10 and CPT codes, with expert knowledge of specific therapy codes
• Advanced Microsoft Excel skills and ability to learn multiple CRM software programs
• Good organizational skills to manage multiple inquiries simultaneously
• Experience in customer service with various stakeholders