Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist.

Key Responsibilities

• Prioritizes and processes incoming Prior Authorization requests according to departmental guidelines
• Coordinates financial clearance activities and verifies patient eligibility and insurance information
• Collaborates with patients, providers, and departments to ensure necessary authorizations and referrals are obtained

Required Qualifications, Training, and Education

• High school diploma or GED required; Associate's Degree or higher preferred
• 4-5 years of office experience in a high volume data entry, customer service, or healthcare setting
• Experience with insurance verification, prior authorization, and financial clearance processes
• Bilingual preferred
• Knowledge of medical terminology and basic coding is helpful