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Prior Authorization Specialist

6/12/2025

N/A

Job Summary

A company is looking for a Prior Authorization Specialist I in Patient Access Services.

Key Responsibilities
  • Screen and process prior authorization requests for various medical services
  • Coordinate financial clearance activities, including insurance verification and obtaining referrals
  • Collaborate with stakeholders to ensure timely access to care and adherence to compliance standards
Required Qualifications
  • High school diploma or GED required; Associate's Degree 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 candidates preferred
  • Proficiency in Microsoft Suite applications and familiarity with Epic systems preferred

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