Reimbursement Specialist II - Prior Authorization - Screening

As a Reimbursement Specialist II – Prior Authorization, you are a seasoned expert within the revenue cycle team, driving impact through deep knowledge of insurance processes, payer policy, and prior authorization strategy. You play a key role in ensuring patients receive timely access to care while maximizing reimbursement outcomes for the organization. You will independently manage the full prior authorization lifecycle—navigating complex payer policies, securing timely approvals, and resolving escalated reimbursement issues. You will lead efforts to streamline processes, troubleshoot complex denials, and collaborate with team members and ordering physician offices to ensure seamless communication. In collaboration with Finance, Client Services, Account Managers, and our billing technology partners, you will champion best practices and contribute to a high-functioning, compliant billing operation. You’ll help build and maintain comprehensive documentation of payer requirements and support process improvement initiatives that increase efficiency and effectiveness across the department.