Prior Authorizations Specialists

Job Description: Verify patient insurance eligibility and benefits before scheduled appointments or procedures Obtain prior authorizations for medications, imaging, and procedures via payor portals, fax, or phone Track and follow up on pending authorizations to ensure timely approval Process denial appeals by compiling supporting clinical documentation and submitting reconsideration requests Communicate approval status and next steps to providers and care coordinators Document all actions in the EHR and maintain accurate records of interactions and outcomes Qualifications: Must have a minimum of 2 years of experience in surgery/procedure prior authorizations Knows about handling and working with US Healthcare and Insurance Excellent verbal and written communication skills Strong organizational and time management abilities