Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist.

Key Responsibilities

• Obtain timely prior authorization or pre-determinations from various insurance plans
• Select and document pertinent medical records and verify patient insurance information
• Maintain confidentiality in accordance with HIPAA regulations and update internal insurance carrier listings

Required Qualifications

• High School Diploma or GED
• 1+ year of healthcare prior authorizations experience
• Experience in submitting prior authorizations
• Familiarity with medical terminology, especially in Oncology
• Basic computer literacy and strong teamwork capabilities