Remote Authorization Specialist

A company is looking for a Remote Authorization Specialist responsible for obtaining and maintaining prior authorization status for patient medications and therapies.

Key Responsibilities

Obtain and maintain prior authorization status for patient medications / therapies

Collaborate with the clinical review department to gather necessary documentation for authorizations

Support the billing department by obtaining documentation that meets payer requirements

Required Qualifications

High School Diploma or equivalent required

Minimum of 2 years authorization, reimbursement, or claims processing experience required

Practical experience with medical terminology and coding preferred

Knowledge of Medicare, Medicaid, and third-party payor contracts preferred

Understanding of HIPAA Privacy and Security requirements preferred