Healthcare Prior Auth Specialist — Streamline Approvals

Assist Point Inc; Frisco (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

Assist Point Inc. in Frisco, TX is seeking a detail-oriented Prior Authorization Specialist who will manage and process prior authorization requests to ensure timely approvals for medical services and medications.

The role requires verifying insurance coverage, communicating with insurers, and maintaining accurate records, collaborating with providers and patients to resolve issues while ensuring compliance with regulatory policies.

Qualifications

• Must have a high school diploma or equivalent.
• Associate's or Bachelor's degree is preferred.
• Experience in prior authorization or medical billing is a plus.
• Strong knowledge of insurance plans and medical terminology.
• Excellent communication and organizational skills.
• Proficient with EMR systems and Microsoft Office.

Responsibilities

• Review and process prior authorization requests from providers.
• Communicate with insurers to obtain approvals.
• Verify patient coverage and eligibility.
• Maintain accurate records of authorization activity.
• Collaborate with providers, patients, and insurers to resolve issues.
• Ensure compliance with policies and regulations.
• Provide timely updates on status to patients and providers.

Skills

Healthcare knowledge

Communication

Independent work

Education

High school diploma

Associate's or Bachelor's degree preferred

Tools

EMR systems

MS Office

Job description

Assist Point Inc. in Frisco, TX is seeking a detail-oriented Prior Authorization Specialist who will manage and process prior authorization requests to ensure timely approvals for medical services and medications.

The role requires verifying insurance coverage, communicating with insurers, and maintaining accurate records, collaborating with providers and patients to resolve issues while ensuring compliance with regulatory policies.