Prior Authorization Analyst

Prior Authorization Specialist - Immediate Joiners Needed

Job Summary

The Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers for medical services and procedures. This role ensures all required approvals are secured in a timely manner to prevent service delays, claim denials, and revenue loss. The Specialist acts as a liaison between providers, patients, and insurance companies to streamline the authorization process and ensure compliance with payer requirements.

Key Responsibilities

• Authorization Request Management: Initiate and follow up on prior authorization requests for medical services, diagnostic tests, and procedures with insurance companies.
• Insurance Communication: Coordinate with insurance providers to verify the necessity and coverage of requested services.
• Clinical...