Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist (Library Building).

Key Responsibilities

• Research and interpret prior authorization rules and payer-specific requirements
• Utilize internal tools to standardize and update payer guidelines and documentation
• Collaborate with cross-functional teams to improve workflows and test new automation tools

Required Qualifications

• 3+ years of experience in prior authorization processing or healthcare operations
• Strong knowledge of payer policies and prior authorization workflow structures
• Experience with payer portals and medical policy documentation
• Technical fluency with structured logic and automation tools
• Highly organized and able to manage multiple tasks in a fast-paced environment