Care Access Navigator: Prior Authorization

Itrust Wellness Group; Greenville (SC); Hybrid; USD 52,000 - 68,000; Full time

Job summary

iTrust Wellness seeks a detail-oriented Prior Authorization Specialist for our Greenville or Anderson offices. You will manage authorization requests, coordinate with providers and insurers, and monitor approvals to expedite patient access to care.

The role requires experience with EHR systems, CPT/ ICD coding, and strong HIPAA compliance. Excellent communication with patients and staff is essential.

Qualifications

• High School Diploma or equivalent.
• Prior Authorization experience in medical settings.
• Experience using EHR systems.
• Knowledge of health insurance policies and verification procedures.
• Familiarity with CPT/ICD coding and medical terminology.
• Proficiency with Microsoft Office.

Responsibilities

• Process medication prior authorization requests with insurance companies to ensure timely patient care.

Skills

Prior Authorization

Insurance Knowledge

Medical Terminology

CPT Coding

ICD Coding

EHR Management

Microsoft Office

Customer Service

HIPAA Compliance

Medical Records

Medical Billing

Education

High School Diploma

Tools

EHR Systems

Job description

iTrust Wellness seeks a detail-oriented Prior Authorization Specialist for our Greenville or Anderson offices. You will manage authorization requests, coordinate with providers and insurers, and monitor approvals to expedite patient access to care.

The role requires experience with EHR systems, CPT/ ICD coding, and strong HIPAA compliance. Excellent communication with patients and staff is essential.