Prior Authorization Specialist

Position Summary :

We are seeking a detail-oriented Prior Authorization Specialist to join our Central Authorization Center team. Reporting to the Manager, this role collaborates closely with FCC, ASC scheduling, and physician offices to ensure all necessary approvals and insurance authorizations are secured for outpatient ancillary services. The ideal candidate will be proactive in verifying insurance information, resolving claim denials, and ensuring timely and accurate billing to support patient care and financial operations.

Key Responsibilities :

Verify insurance eligibility and benefits prior to service or upon admission.

Notify insurance carriers of admissions via online portals, phone, or fax to prevent denials.

Obtain authorizations before scheduled services, coordinating with physician offices to meet deadlines.

Document all authorization details and issues in the ADT system.

Monitor authorization status to ensure compliance and prevent denials.

Correct and update insurance information based on claim rejections or eligibility failures.

Assign accurate CPT and ICD-10 codes for billing and documentation.

Collaborate with radiologists and physician offices to ensure managed care pre-authorizations are complete.

Support denial management and ensure accurate insurance data on patient accounts.

Qualifications :

Minimum 2 years of prior authorization experience.

Proficient in navigating insurance company websites.

High School diploma or equivalent required.

Strong knowledge of medical insurance and authorization processes.

Familiarity with CPT and ICD-10 coding standards.

Details :

Pay : $25 - $30 / hr.

Pay cycle – weekly | medical, dental & vision benefits offered

Schedule : Monday – Friday | 8 : 00am – 4 : 00pm or 9 : 00am – 5 : 00pm (37.5 hours per week)

Pay and Benefits

The pay range for this position is $25.00 - $30.00 / hr. Eligibility requirements apply to some benefits and may depend on your job

classification and length of employment. Benefits are subject to change and may be

subject to specific elections, plan, or program terms. If eligible, the benefits

available for this temporary role may include the following :

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off / Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Manchester,CT.

Application Deadline

This position is anticipated to close on Oct 17, 2025. h4>

About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.