Prior Authorization Specialist

???? We’re Hiring: Prior Authorization Specialist (Remote)

We are currently looking for an experienced Prior Authorization Specialist to join our growing team!

Requirements:
• Proven experience handling prior authorizations for medical services and/or medications
• Strong knowledge of insurance verification and benefits coordination
• Experience submitting and following up on authorization requests
• Familiarity with major insurance payers and portals
• Ability to track, document, and manage multiple cases efficiently
• Excellent communication skills (written and verbal)
• Detail-oriented and highly organized
• Experience with EMR/EHR systems is a plus

Responsibilities:
• Submit and monitor prior authorization requests
• Follow up with insurance companies to ensure timely approvals
• Communicate with providers and patients regarding authorization status
• Handle denials and resubmissions when necessary
• Maintain accurate documentation in the system

Work Setup:
• Remote position
• Must have stable internet connection and reliable equipment
• Ability to work during EST hours