Job Description
Prior Authorization Specialist
Employment Status: Full-time
FLSA: Non-Exempt
Reports to: Billing Manager
Revised Date: 1 Apr 2025 April 2025
A Prior Authorization Specialist is responsible for reviewing medical records to determine if treatments, procedures, or medications require prior authorization. They also verify insurance information, process authorization requests, collaborate with other healthcare professionals, monitor and follow up, manage denials, and communicate with patients. Review Medical Records a Prior Authorization Specialist meticulously examines patient records to determine if treatments, procedures, or medications require prior authorization, ensuring that each case is assessed accurately according to Insurance carrier requirements.
ESSENTIAL FUNCTIONS
COMPETENCIES
MINIMUM REQUIREMENTS
BENEFITS
- Health Insurance (Medical, Dental, Vision)
- 401k with company
- PTO (paid time off)
PHYSICAL DEMANDS AND WORKING CONDITIONS
Working conditions are office space. Will be required to sit and monitor a computer screen for extended periods of time. Must be to communicate in a clear and professional manner. Should be able to lift or carry 25lbs.
JOB TYPE, PAY, AND WORKING LOCATION
Job Type: Full-time
Pay Range: $17 - $21.50 (based on experience
Work Location: In person
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