Prior Authorization Specialist

3 days ago


Lahore, Punjab, Pakistan beBee Careers Full time

We are seeking an experienced professional to join our team as a Prior Authorization Specialist. In this role, you will play a critical part in handling US medical prior authorizations for procedures, imaging, or medications.

Key Responsibilities:

  • Submit, track, and follow up on prior authorization requests with insurance companies.
  • Communicate with providers, payers, and pharmacies to ensure timely approvals.
  • Handle patient inquiries regarding insurance and authorization statuses.
  • Verify insurance coverage and benefits accurately.
  • Document all activities clearly in EHR/EMR systems.
  • Maintain HIPAA compliance and data confidentiality.

Requirements:

  • A minimum of 1 year of hands-on experience with prior authorizations is required.
  • Knowledge of US insurance plans (commercial, Medicare, Medicaid) is essential.
  • Strong English communication skills (verbal and written) are necessary.
  • Familiarity with EMR/EHR platforms is required.
  • The ability to multitask, prioritize, and work independently is crucial.


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