Administrative Specialist

Pre-Authorization Specialist

We are seeking a Pre-Authorization Specialist to manage prior authorization requests for medical procedures, treatments, and medications. The ideal candidate will have strong attention to detail, excellent communication skills, and a thorough understanding of insurance policies and medical billing processes.

Key Responsibilities :

• Review and process prior authorization requests for medical services and prescriptions.
• Verify patient insurance benefits and eligibility.
• Communicate with healthcare providers, insurance companies, and patients to gather necessary information.
• Maintain accurate records of authorization approvals and denials.
• Follow up on outstanding authorizations to ensure timely decisions.
• Stay up-to-date with changes in insurance policies and regulatory requirements.
• Assist in training and mentoring new staff on prior authorization procedures.

Qualifications :

Benefits :