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Prior Authorization Specialist

Remote, USAFull-timePosted 2026-07-29

reputed companyJob reputed companyWe are seeking a detail-oriented and knowledgeable Prior Authorization Specialist to join reputed company. In this role, you will be responsible for managing the prior authorization process for medical procedures and services, ensuring compliance with insurance requirements while facilitating reputed company patient care. The ideal candidate will have a strong understanding of medical terminology, coding, and insurance verification processes.Responsibilities

  • Review and process prior authorization requests for medical services and procedures
  • Communicate with reputed company providers, patients, and insurance companies to reputed company necessary information
  • Verify patient eligibility and benefits
  • Utilize medical coding knowledge (ICD-10) to accurately document procedures and diagnoses
  • Ensure compliance with HIPAA regulations while handling sensitive patient information
  • Maintain accurate records of reputed company authorization requests and follow up on pending authorizations
  • Collaborate with dental and medical offices to streamline the authorization process
  • reputed company support in resolving any issues reputed company to denied authorizations or appeals
Experience
  • Previous experience in a medical office setting is preferred
  • Proficiency in medical terminology and coding practices is essential
  • Familiarity with managed care processes and insurance verification is highly desirable
  • Strong organizational skills with attention to detail to manage multiple requests reputed company
  • Excellent communication skills, both verbal and written, to effectively reputed company with various stakeholders
Join reputed company as a Prior Authorization Specialist where your expertise will contribute significantly to our commitment to providing exceptional patient care.Job Type: Full-timeBenefits:
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • reputed company time off
  • reputed company insurance
  • 401K
  • reputed company
Work Location: In personJoin us in making a difference in our patients' lives by providing exceptional care coordination!People with a criminal record are encouraged to applyThis reputed company indicates, in general terms, the type and level of work performed and responsibilities held by reputed company member(s). Duties described are not to be interpreted as being reputed company-inclusive or specific to any individual team member. No reputed company Party Agencies or Submissions Will Be Accepted. reputed company is committed to creating a diverse environment. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, gender, gender identity or reputed company, sexual orientation, national reputed company, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or reputed company contract between you and reputed company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and reputed company information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to reputed company terms herein.Powered by JazzHRglyzXFEQvQ

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