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Reimbursement Specialist NC

Reimbursement Specialist NC

Cornerstone StaffingCharlotte, North Carolina, US
5 days ago
Job type
  • Full-time
Job description

PRIOR AUTHORIZATION SPECIALIST

Qualifications, skills, and all relevant experience needed for this role can be found in the full description below.

Make a real difference as a Prior Authorization Specialist in a high-volume healthcare or reimbursement hub setting.

Use your expertise in benefit verification, insurance navigation, and medical insurance to accelerate access to critical treatments—delivering precision and support in every patient interaction.

LOCATION & BENEFIT :

Remote – Must live in the Dallas – Fort Worth area

COMPENSATION & SCHEDULE :

  • $18–20 / hr.
  • Monday - Friday | availability for an 8-hour shift between 8am - 8pm EST or 7am – 7pm CST

ROLE IMPACT

The Prior Authorization Specialist plays a vital role in ensuring patients receive timely access to medications and services by accurately initiating and tracking insurance prior authorizations. This position bridges the gap between providers, payors, and pharmacies to eliminate administrative delays and support continuity of care.

KEY RESPONSIBILITIES

  • Conduct insurance benefit investigations and document activity in internal systems
  • Submit prior authorization requests and required documentation to insurance carriers
  • Manage inbound inquiries; escalate complex issues as necessary
  • Coordinate with payors, provider offices, and pharmacies to expedite coverage decisions
  • Monitor authorization status and report delays to leadership

    • MINIMUM QUALIFICATIONS

  • High school diploma or GED
  • 1+ years’ experience in pharmacy, medical insurance, or healthcare administration
  • Proficient communication and customer service skills
  • Familiarity with medical and pharmacy benefits across major insurers

    • CORE TOOLS & SYSTEMS

  • Microsoft Excel
  • Microsoft Outlook
  • Microsoft Word

    • PREFERRED SKILLS

  • Prior experience in benefit verification or prior authorization support
  • Background in call center or high-volume reimbursement operations

    • By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at : https : / / www.cornerstonestaffing.com / privacy

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    Reimbursement Specialist • Charlotte, North Carolina, US