Prior Authorization Specialist

A company is looking for a Prior Authorization Specialist I. Key Responsibilities Prioritizes and processes incoming prior authorization requests, including authorizing specified services Coordinates financial clearance activities, ensuring timely access to care while maximizing hospital reimbursement Collaborates with patients, providers, and departments to obtain necessary information and payer permissions prior to scheduled services Required Qualifications High school diploma or GED required; Associate's Degree or higher preferred 4-5 years of office experience in a high volume data entry, customer service call center, or healthcare setting Experience with insurance verification, prior authorization, and financial clearance processes Bilingual preferred; familiarity with medical terminology and ICD-9/CPT coding is helpful Basic computer proficiency, including Microsoft Suite applications and experience with Epic preferred

Created: 2026-03-05