Prior Authorization Specialist

A company is looking for a Prior Authorization Assistant to support their AI-powered prior authorization solution in healthcare operations.

Key Responsibilities

Review and verify insurance information and patient eligibility for prior authorizations

Communicate with healthcare providers to gather necessary medical documentation and information

Submit prior authorization requests to insurance companies and monitor their status for timely processing

Required Qualifications

4+ years of experience with prior authorization and billing in multiple specialties

Familiarity with major payors including UnitedHealthcare, Aetna, and Blue Cross Blue Shield

Proven experience managing client relationships and engaging with C-suite executives