Prior Authorization Representative

A company is looking for a Prior Authorization Representative II. Key Responsibilities Audit internal and external staff on workflows within Pre-Auth and Authorization Denials Provide training and presentations on authorization procedures to staff Conduct high-level analysis of reports and provide feedback to reduce denials Required Qualifications Three years of experience in a health care financial setting, or equivalent Six months of experience as a Prior Authorization Rep I or equivalent prior-authorization experience Previous experience with insurance and prior authorizations (preferred) ICD/CPT Coding Certification (preferred) Inpatient and day surgery prior authorizations experience (preferred)

Jun 14, 2025 - 02:50

A company is looking for a Prior Authorization Representative II. Key Responsibilities Audit internal and external staff on workflows within Pre-Auth and Authorization Denials Provide training and presentations on authorization procedures to staff Conduct high-level analysis of reports and provide feedback to reduce denials Required Qualifications Three years of experience in a health care financial setting, or equivalent Six months of experience as a Prior Authorization Rep I or equivalent prior-authorization experience Previous experience with insurance and prior authorizations (preferred) ICD/CPT Coding Certification (preferred) Inpatient and day surgery prior authorizations experience (preferred)