Remote Prior Authorization Specialist

Job Summary

A company is looking for a Remote Prior Authorization Specialist to manage insurance authorization requests efficiently.

Key Responsibilities

• Review, submit, and track prior authorization requests for medical procedures, medications, and services
• Verify patient insurance coverage and eligibility for requested services
• Communicate with healthcare providers, insurance carriers, and internal teams to obtain required documentation

Required Qualifications

• Prior experience in healthcare administration, prior authorizations, medical billing, or insurance verification required
• Working knowledge of medical terminology, CPT and ICD-10 codes, and payer authorization requirements
• Proficiency with EHR/EMR systems and insurance portals
• Highly organized and detail-oriented, able to manage multiple requests simultaneously
• Comfortable working independently in a remote environment