Prior Authorization Specialist

WHAT YOU WILL DO:

• Submit and track prior authorization requests across multiple insurance payers
• Communicate with provider teams to obtain missing information or documentation
• Identify authorization issues and pursue reconsiderations or appeals when requests are denied

WHAT WE ARE LOOKING FOR:

• 2+ years of experience in prior authorization, insurance verification, or medical billing
• Ability to understand and interpret clinical documentation
• Strong attention to detail and ability to manage multiple requests simultaneously

NICE TO HAVE:

• Experience with specialty-specific prior authorizations
• Clinical or healthcare background
• Experience handling authorization denials, reconsiderations, or appeals