Senior Prior Authorization Specialist

Job Summary

A company is looking for a Senior Prior Authorization Specialist.

Key Responsibilities

• Oversee prior authorization workflow and mentor team members on complex cases
• Develop best practices for workflows and track team performance metrics
• Submit and manage prior authorization requests and ensure compliance with payer policies

Required Qualifications

• High school diploma
• 4+ years of experience in prior authorization, medical billing, or insurance verification
• Familiarity with molecular/genetic testing and payer guidelines
• Proficiency in EMR systems and Microsoft Office Suite
• Leadership experience and ability to analyze data for process improvements