Prior Authorization Specialist

Working remotely in a full-time capacity, the Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services, and ensure compliance with healthcare delivery standards while managing financial clearance activities. Key responsibilities Prioritizes and processes incoming prior authorization requests, authorizing specified services as per departmental guidelines Collaborates with patients, providers, and departments to obtain necessary information and payer permissions prior to scheduled services Maintains knowledge of insurance requirements and manages communication with stakeholders to facilitate the financial clearance process Required qualifications High school diploma or GED required; Associate's Degree or higher preferred 4-5 years of office experience in a high-volume data entry, customer service call center, or healthcare setting Experience with insurance verification, prior authorization, and financial clearance processes Knowledge of medical terminology and ICD-9/CPT coding is helpful Bilingual candidates are preferred