Prior Authorization Specialist

The Prior Authorization Specialist supports the Patient Access department in various functions, including insurance verification and coordinating prior authorization requests for medical services. This role is critical in facilitating timely patient access to healthcare by managing prior authorization processes.

Requirements

• High School Diploma or GED
• 2 years of experience in prior authorizations in either ortho, cardio, or diagnostic imaging
• Strong computer literacy, including Microsoft Office Suite and EMR/EHR systems
• Ability to read, interpret, and apply medical terminology and clinical documentation
• Ability to multitask and work effectively in a high-volume, fast-paced, and deadline-driven environment
• Strong communication skills with the ability to interact with insurance companies via phone, fax, and electronic portals
• Strong organizational skills and attention to detail
• Ability to maintain confidentiality and follow HIPAA regulations
• Problem-solving ability to investigate denials and determine next steps

Benefits

• 401(k) Retirement Savings Plan
• Comprehensive Medical, Dental, and Vision Coverage
• Paid Time Off
• Paid Holidays
• Pet Care Coverage
• Employee Assistance Program (EAP)
• Discounted services