Healthcare Prior Authorization Pro

Priority Dispatch Corp.; Little Rock (AR); On-site; USD 42,000 - 64,000; Full time

Job summary

Priority Dispatch Corp. seeks a diligent Prior Authorization Specialist to verify demographics, obtain pre-approvals, and confirm insurance eligibility before procedures.

You will handle inpatient, outpatient, and emergency department authorizations, while addressing denials and reimbursement needs with professional communication. Ideal candidates have hospital or medical office experience in billing and authorization processes, with strong attention to detail and confidentiality in a fast-paced

Qualifications

• Education: LPN or RN license required.
• Experience: hospital or medical office experience in billing, pre-certification and authorization preferred.

Responsibilities

• Review demographic, billing and insurance information for accuracy.
• Verify insurance eligibility and obtain precertification/authorization.
• Communicate policy benefits to patients and respond to inquiries.
• Navigate payor websites and determine medical necessity for procedures.
• Provide timely referral/pre-notification/authorization services to avoid delays.

Skills

Teamwork

Service orientation

Communication

Problem solving

Multitasking

Education

LPN license

RN license

Tools

Microsoft Office Suite

Database management

Spreadsheets

Job description

Priority Dispatch Corp. seeks a diligent Prior Authorization Specialist to verify demographics, obtain pre-approvals, and confirm insurance eligibility before procedures.

You will handle inpatient, outpatient, and emergency department authorizations, while addressing denials and reimbursement needs with professional communication. Ideal candidates have hospital or medical office experience in billing and authorization processes, with strong attention to detail and confidentiality in a fast-paced