Prior Authorization Specialist

Full-time Marketing & Media

We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The candidate will be responsible for timely submission, meticulous follow‑up, and effective resolution of all prior authorization requests and subsequent appeals.

Responsibilities

• Prior Authorization Submission and Monitoring:
  • Monitor the PA queue and manage an organized list of outstanding and in‑progress PAs.
  • Review patient and service data for completeness and accuracy.
  • Submit new prior authorizations to the correct insurance company and platform efficiently via portals, fax, or telephone.
• Status Follow‑Up:
  • Proactively call insurance companies to check the status of submitted PAs and prevent processing delays.
  • Document all communication and status updates clearly and promptly in the patient management system...