Pre-Service Authorization Specialist

A company is looking for a Pre Service IV Auth Specialist.

Key Responsibilities

Secure pre-authorizations from insurance companies for various healthcare services

Respond to clinical inquiries through insurance portals to support timely authorization approvals

Review medical records and documentation to ensure accurate submission for ordered services

Required Qualifications and Education

Minimum two (2) years of experience in pre-authorization or insurance billing in a healthcare setting

Customer service experience in healthcare

Proficiency in medical terminology, validated by examination

Experience reviewing medical policies and interpreting CPT and HCPCS codes

Completion of a health vocational program preferred