Prior Authorization Specialist

Affinity Health Center's mission is to serve the healthcare needs of our community by providing access to high-quality, comprehensive care with compassion, dignity and respect. Affinity Health Center's vision is for a healthy and vibrant community where all people have access to exceptional and comprehensive healthcare. Join Our Mission to Transform Community Healthcare Are you passionate about removing barriers to care and making a real difference in patients' lives? Affinity Health Center is seeking a dedicated Prior Authorization Specialist to join our dynamic team and help ensure our patients get the medications and treatments they need, when they need them. Why This Role Matters As a Prior Authorization Specialist, you'll be the problem-solver who turns "maybe" into "yes" for our patients. You'll navigate the complex world of insurance approvals while supporting our referral and medical records teams to create a seamless care experience. Every authorization you secure, every patient assistance application you complete, and every barrier you remove directly impacts the health and wellbeing of the community we serve. What You'll Do Process and manage prior authorizations for medications, procedures, and services with efficiency and attention to detail Provide critical backend support to our referral and medical records specialists, ensuring smooth care coordination Navigate EMR systems and online prior authorization portals like a pro Support patients through the patient assistance application process, connecting them with resources that make care affordable Communicate clearly and compassionately with patients, insurance companies, and clinical staff Manage competing priorities with excellent time management and organizational skills Serve as a patient advocate, always keeping their needs at the center of everything you do Pay Range $16.00 - $20.00 per hour based on experience and qualifications. Benefits Fully funded health insurance Paid-Time Off Group Health /Life/Dental/Vision/Disability 403B Retirement Plan with 3% match 12 Paid Holidays Training and continuing education opportunities provided, including leadership development What Makes This Opportunity Special This isn't just a job—it's a chance to be part of a mission-driven team that serves our community's most vulnerable populations. You'll work alongside passionate healthcare professionals who value collaboration, innovation, and compassionate care. Every day, you'll see the direct impact of your work in the lives of real people. Ready to Make a Difference? If you're looking for a role where your skills directly translate into better health outcomes for your community, we want to hear from you. Join us in breaking down barriers to care and supporting both our patients and our incredible care team. Position Requirements What We're Looking For Strong knowledge of medical terminology Familiarity with health insurance eligibility, benefits, and authorization processes Experience in healthcare settings (preferred) Comfort navigating electronic medical records (EMR) and online authorization systems Excellent communication skills—you can explain complex insurance issues in plain language Outstanding time management and organizational abilities A patient‑centered approach to service delivery Bilingual skills (a plus!) This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all‑inclusive listing of duties and responsibilities. Contents are subject to change at management's discretion. Condition of Employment: Per policy, vaccination against the Seasonal Flu is an Employee Health Standard and Condition of Employment for all new employees of Affinity Health Center. New employees must have initiated the vaccination process prior to their start date or initiate vaccination upon onboarding. EEO: It is the policy of Affinity Health Center to ensure equal employment opportunity without discrimination because of race, religion, color, sexual orientation, political affiliation, physical disability, national origin, sex, gender identity, gender expression, military status, age, pregnancy, or any pregnancy‑related medical conditions, including, but not limited to, lactation, except when the basis is a bona fide occupational qualification. ADA: It is Affinity Health Center’s (AHC) policy to comply with all relevant and applicable provisions of the Americans with Disabilities Act (ADA) and related state and local laws. Affinity Health Center will not discriminate against any qualified employee or job applicant with respect to any terms, privileges, or conditions of employment because of physical or mental disability. AHC will make reasonable accommodations for employees or applicants with disabilities, provided that the individual is otherwise qualified to safely perform the essential functions of the job, with or without accommodation, and provided that any accommodations made do not impose an undue hardship. Individuals who feel that an accommodation is necessary to be able to perform the essential functions of the job should contact Human Resources. This position is currently accepting applications. #J-18808-Ljbffr