PRIOR AUTHORIZATION SPECIALIST
Make a real difference as a Prior Authorization Specialist in a high-volume healthcare or reimbursement hub setting.
Use your expertise in benefit verification, insurance navigation, and medical insurance to accelerate access to critical treatments—delivering precision and support in every patient interaction.
LOCATION & BENEFIT :
Remote – Must live in the Dallas – Fort Worth area
COMPENSATION & SCHEDULE:
• $18–20/hr.
• Monday - Friday | availability for an 8-hour shift between 8am - 8pm EST or 7am – 7pm CST
ROLE IMPACT
The Prior Authorization Specialist plays a vital role in ensuring patients receive timely access to medications and services by accurately initiating and tracking insurance prior authorizations. This position bridges the gap between providers, payors, and pharmacies to eliminate administrative delays and support continuity of care.
KEY RESPONSIBILITIES
• Conduct insurance benefit investigations and document activity in internal systems
• Submit prior authorization requests and required documentation to insurance carriers
• Manage inbound inquiries; escalate complex issues as necessary
• Coordinate with payors , provider offices, and pharmacies to expedite coverage decisions
• Monitor authorization status and report delays to leadership
MINIMUM QUALIFICATIONS
• High school diploma or GED
• 1+ years’ experience in pharmacy, medical insurance, or healthcare administration
• Proficient communication and customer service skills
• Familiarity with medical and pharmacy benefits across major insurers
CORE TOOLS & SYSTEMS
• Microsoft Excel
• Microsoft Outlook
• Microsoft Word
PREFERRED SKILLS
• Prior experience in benefit verification or prior authorization support
• Background in call center or high-volume reimbursement operations
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