Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist.

Key Responsibilities

• Screen and process prior authorization requests, ensuring compliance with departmental policies
• Coordinate financial clearance activities, including insurance verification and obtaining referral authorizations
• Collaborate with healthcare providers and patients to facilitate understanding of prior authorization processes

Required Qualifications

• High school diploma or GED required; Associate's Degree or higher preferred
• 4-5 years of experience in a high-volume data entry office, customer service call center, or healthcare administration
• Experience with insurance verification, prior authorization, and financial clearance processes
• Bilingual preferred
• Basic computer proficiency, including Microsoft Suite applications