Prior Authorization Specialist

A company is looking for a Prior Authorization Specialist to obtain pre-certifications and pre-authorizations for procedures and medications.

Key Responsibilities

Obtain prior authorizations from various insurance providers following established protocols

Select and review pertinent medical records and verify patient insurance information

Document all prior authorization follow-ups and maintain confidentiality in accordance with HIPAA regulations

Required Qualifications

High School Diploma or GED

Minimum of 2 years of experience in a medical assistant role within a healthcare setting

Proficiency in processing prior authorizations with at least 2+ years of experience

Minimum of 2 years of experience communicating with insurance companies

Familiarity with medical terminology, especially in Oncology