Medical Prior Authorization Specialist

Summit Health; Bend (OR); On-site; USD 30,000 - 36,000; Full time

Job summary

Summit Health is seeking an Authorization Specialist to obtain authorizations for surgical procedures, diagnostic tests, medications, and referrals as part of the Revenue Cycle Department. The role requires understanding medical insurance policies and authorization guidelines across plans.

You will monitor schedules, run reports, verify eligibility, and collaborate with care teams to prevent denials while ensuring timely patient care and accurate documentation.

Qualifications

• High school graduation or GED required.
• Technical/vocational certificate preferred.
• 2–4 years of related experience preferred.

Responsibilities

• Identify appointments and procedures requiring authorization by monitoring schedules and reports.
• Verify insurance eligibility and benefits; update patient insurance information.
• Complete referrals and prior authorizations in a timely manner per guidelines.
• Communicate clearly with patients, physicians, and staff to resolve authorization issues.

Skills

Epic proficiency

Communication skills

Insurance knowledge

Education

High School Diploma or GED

Technical/Vocational Certificate

Tools

Epic

Microsoft Office Suite

Job description

Summit Health is seeking an Authorization Specialist to obtain authorizations for surgical procedures, diagnostic tests, medications, and referrals as part of the Revenue Cycle Department. The role requires understanding medical insurance policies and authorization guidelines across plans.

You will monitor schedules, run reports, verify eligibility, and collaborate with care teams to prevent denials while ensuring timely patient care and accurate documentation.