
US Medical Prior Authorizations Expert
3 days ago
This position requires a strong background in handling US medical prior authorizations for procedures, imaging, or medications. Candidates without prior authorization experience will not be considered.
As a Prior Authorization Specialist, you will be responsible for:
- Submitting, tracking, and following up on prior authorization requests with insurance companies.
- Communicating with providers, payers, and pharmacies to ensure timely approvals.
- Handling patient inquiries regarding insurance and authorization statuses.
- Verifying insurance coverage and benefits accurately.
- Documenting all activities clearly in EHR/EMR systems.
- Maintaining HIPAA compliance and data confidentiality.
The ideal candidate will have:
- A minimum of 1 year of hands-on experience with prior authorizations.
- Knowledge of US insurance plans (commercial, Medicare, Medicaid).
- Strong English communication skills (verbal and written).
- Familiarity with EMR/EHR platforms.
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