Prior Authorization Specialist

A company is looking for a Prior Authorization Specialist.

Key Responsibilities

Screen and process prior authorization requests for medical services

Coordinate financial clearance activities, including insurance verification and obtaining referral authorizations

Collaborate with patients, providers, and departments to ensure timely access to care and compliance with authorization requirements

Required Qualifications

High school diploma or GED required; Associate's Degree or higher preferred

4-5 years of office experience in a high-volume data entry, customer service, or healthcare setting

Experience with insurance verification, prior authorization, and financial clearance processes

Bilingual preferred

Basic computer proficiency and familiarity with Microsoft Suite applications