Remote Prior Authorization Specialist — PA Automation

DrFirst; France; Remote; EUR 45,000 - 53,000; Full time

Benefits offered by this job

Performance-based bonus

Medical, dental, and vision insurance

401K with company match

HSA contribution

Job summary

DrFirst is seeking a remote Prior Authorization Specialist to research, interpret, and maintain payer-specific PA requirements. You will work with developers and data scientists to improve tooling, workflows and automation across PA processes.

Ideal candidates have 3+ years in PA processing, strong knowledge of payer policies, excellent communication, and comfort with scripting and structured logic. This is a remote, U.S.-based role with flexible hours and collaboration across teams.

Qualifications

• 3+ years of hands-on experience in prior authorization processing or healthcare operations.
• Strong knowledge of payer policies, benefits, and PA workflow structures.
• Experience working with payer portals, benefit lookup tools, and medical policy documentation.
• Excellent communication and documentation skills; able to interface with technical and non-technical stakeholders.
• Comfortable working with structured logic, configuration tools, and basic scripting/querying to automate or optimize workflows.
• Highly organized, detail-oriented, and able to manage multiple tasks in a remote, fast-paced setting.
• Experience supporting automation or working with structured logic/rules-based tools is a plus.

Responsibilities

• Research and interpret prior authorization rules and payer-specific requirements across service types and benefit types.
• Use internal tools to enter unformatted payer guidelines into a standardized configuration format used by the DrFirst platform.
• Keep payer documentation and configuration records up to date when prior authorization requirements change.
• Collaborate cross-functionally with software development, product, and data science teams to suggest process improvements, validate enhancements, and test new automation or UI changes.
• Identify opportunities to streamline tasks automation-enabling tools.
• Interface with payers and vendors to clarify, confirm, and update contractual PA requirements.
• Ensure PA configuration accuracy, completeness, and timely execution in support of client expectations and automation initiatives.
• Participate in testing of new workflows, pilot projects, or tools related to PA processing.
• Adhere to HIPAA, compliance, and internal data security standards.
• Perform other tasks and support initiatives as assigned.

Skills

PA workflows

Payer policies

Payer portals

Communication skills

Structured logic

Automation tools

Remote work

Detail oriented

Tools

Payer portals

Benefit lookup tools

Medical policy documentation

Job description

DrFirst is seeking a remote Prior Authorization Specialist to research, interpret, and maintain payer-specific PA requirements. You will work with developers and data scientists to improve tooling, workflows and automation across PA processes.

Ideal candidates have 3+ years in PA processing, strong knowledge of payer policies, excellent communication, and comfort with scripting and structured logic. This is a remote, U.S.-based role with flexible hours and collaboration across teams.