Prior Authorization Coordinator

Prior Authorization Coordinator

Overview

Seeking a Prior Authorization Coordinator to track and manage insurance prior authorization requests, verify status, forecast decisions, and place orders upon approval. This role involves heavy outbound calling and portal follow-ups while working closely with cross-functional healthcare teams.

Key Duties

• Check prior authorization statuses via insurance portals and outbound calls
• Manage a high-volume workload (80-90 files) and escalate as needed
• Forecast authorization decisions and meet aging KPIs
• Place approved orders in the CRM system
• Document all interactions in compliance with HIPAA
• Maintain accurate data and support process improvements

Qualifications

• High school diploma or equivalent (some college preferred)
• 2+ years of healthcare customer service experience (DME or prior auth preferred)
• Experience with medical insurance processes
• Strong communication, multitasking, and problem-solving skills
• Comfortable working independently and in a fast-paced environment

Details

• Schedule: M-F, 8:00-4:30 or 8:30-5:00
• Location: Hybrid- Roseville, MN
• Type: Temp-to-hire
• Pay: $27-32/hr

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.