Remote Prior Authorization Specialist

Job Summary

A company is looking for a Remote Prior Authorization Specialist I.

Key Responsibilities

• Manage pre-authorization processes and respond to high-volume billing inquiries
• Collaborate with team members to develop best practices and maintain accurate records of prior authorization requests
• Monitor the status of prior authorization requests and ensure timely approvals

Required Qualifications

• High school diploma or GED or equivalent
• 1 year or more of insurance claims or pre-authorization or medical benefits work experience
• Proficiency with Microsoft Office (Word, Excel, Outlook)
• Solid understanding of medical terminology and insurance guidelines
• Ability to work remotely from a private, quiet workspace with reliable high-speed internet