Job Details

A company is looking for a Prior Authorization Specialist to support the Patient Access department with insurance verification and prior authorization requests.Key ResponsibilitiesContact payers for eligibility and benefit information, including authorization requirementsObtain and submit complete authorization requests and follow up on pending requestsMaintain documentation of authorization activity and stay current on payer requirementsRequired QualificationsHigh School Diploma or GED2 years of experience in a physician's office, pharmacy, or healthcare facilityExperience with prior authorizations for specific medical fields preferredStrong computer literacy, including Microsoft Office Suite and EMR/EHR systemsAbility to read and apply medical terminology and clinical documentation