Prior Authorization Specialist I

📋 Description

• Submit prior authorization requests using payer workflows and system requirements.
• Verify patient benefits, coverage, and authorization requirements.
• Monitor requests and track status through completion.
• Document authorization activity in Epic and other systems.
• Escalate incomplete/unusual cases per procedures.
• Collaborate with departments to support efficient workflows.

🎯 Requirements

• High school diploma or GED required.
• No prior experience required; entry point into healthcare administration.
• Foundational understanding of payer types, referrals, and prior authorizations beneficial.
• Ability to follow standardized workflows and documentation.
• Strong attention to detail, accuracy, and compliance.
• Ability to learn Epic, payer portals, and technology platforms.

🎁 Benefits

• Full-time employment with a healthcare organization.
• PTO, 401(k) retirement plan.
• Medical and dental insurance.
• Comprehensive benefits to support health and security.
• Opportunities to develop healthcare administration and authorization expertise.
• Supportive environment with long-term career growth in healthcare operations.