Prior Authorization Specialist

A company is looking for a Prior Authorization Specialist responsible for obtaining pre-certifications and pre-authorizations for procedures and medications. Key Responsibilities Obtain timely prior authorization or pre-determinations from various insurance plans Select and review pertinent medical records from patients' charts Document all prior authorization follow-ups and determinations in the company's software or client's EMR Required Qualifications High School Diploma or GED 1+ year of healthcare prior authorizations experience Experience in submitting prior authorizations Familiarity with medical terminology, especially in Oncology Basic computer literacy and strong teamwork capabilities

Feb 13, 2025 - 18:27

A company is looking for a Prior Authorization Specialist responsible for obtaining pre-certifications and pre-authorizations for procedures and medications. Key Responsibilities Obtain timely prior authorization or pre-determinations from various insurance plans Select and review pertinent medical records from patients' charts Document all prior authorization follow-ups and determinations in the company's software or client's EMR Required Qualifications High School Diploma or GED 1+ year of healthcare prior authorizations experience Experience in submitting prior authorizations Familiarity with medical terminology, especially in Oncology Basic computer literacy and strong teamwork capabilities