Pre-Authorization Specialist

Job Summary

A company is looking for a Pre-Authorization Specialist.

Key Responsibilities

• Analyze information to complete pre-authorizations based on insurance/payer requirements
• Utilize third-party payer/insurance portals to process pre-auth submissions and document results
• Advocate for patients/providers by processing pre-auths in a timely manner and collaborating with clinical staff

Required Qualifications, Training, and Education

• Experience with insurance providers and their authorization processes
• Proficiency in using electronic health record systems, specifically Epic
• Ability to work in a fast-paced environment with time-sensitive tasks
• Knowledge of medical terminology and healthcare services
• Prior experience in a healthcare or insurance setting is preferred