Pre-Authorization Specialist

Job Summary

A company is looking for a Pre-Authorization Specialist.

Key Responsibilities

• Identify prior authorization requirements and process pre-authorizations for scheduled and add-on services
• Document pre-authorization information and communicate approvals or denials to relevant parties
• Advocate for patients and providers by processing pre-authorizations in a timely manner and collaborating with healthcare professionals

Required Qualifications

• High School diploma or G.E.D
• Preferred healthcare or insurance experience of one (1) year or more
• Proficient in utilizing third-party payer/insurance portals for pre-authorization submissions
• Detailed knowledge of insurance providers and their authorization approval processes
• Ability to identify challenges and work with management to resolve issues