*New - Prior Authorization Specialist (Experienced)- Remote

Socket.dev; Cheyenne (WY); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

Dental insurance

Health Insurance

Paid Time Off

Job summary

Socket.dev is seeking a Remote Prior Authorization Specialist with EPIC experience to handle insurance verifications, submit prior authorizations and track them through approval.

You will communicate with providers and payors, maintain HIPAA compliance, and support daily revenue cycle operations in a fast-paced, remote environment. This full-time role offers 7am–6pm PST hours, a $21–$23 hourly rate, and a performance bonus incentive.

Qualifications

• 2+ years of prior authorization experience.
• Proficient EPIC experience.
• Experience with insurance verification and utilization review.
• Strong communication and organizational skills.

Responsibilities

• Complete insurance verifications and submit prior authorizations.
• Track authorizations from submission through approval.
• Communicate with providers and insurance payors about status.
• Maintain HIPAA compliance and support revenue cycle operations.

Skills

Prior authorization

EPIC

Communication

Problem solving

Organizational skills

Multitasking

Education

High School Diploma

Tools

EPIC

EMR systems

Job description

Prior Authorization Specialist – Remote

Position Summary

We’re actively seeking a Prior Authorization Specialist with experience working insurance authorizations in EPIC. You will be responsible for completing insurance verifications, submitting, and tracking prior authorizations, gathering required documentation, communicating with insurance payors and clinicians, and following authorizations through to approval.

Key Responsibilities:

• EPIC experience required, including general prior authorization process experience.
• knowledge of Idaho payors is a plus.
• Ability to independently manage prior authorizations from submission through approval.
• Communicate with providers and insurance companies regarding authorization status.
• Maintain HIPAA compliance and support daily revenue cycle operations.

Skills & Qualifications

• 2+ years of prior authorization experience -Required
• Proficient EPIC
• Strong communication, problem-solving, and organizational skills.
• Detail-oriented, analytical, and able to multitask is helpful.

Education & Experience

• High School Diploma required; additional education in business or healthcare preferred.
• Experience in prior authorization, utilization review, insurance verification, and EMR systems.

[ preferred]

Work Environment & Physical Requirements

• Remote position
• Prolonged computer use; ability to lift up to 15 lbs.
• Reliable Internet
• FT M-F - 40 hour work week - PST time zone
• Hours available between 7am - 6pm

Job Type, Schedule & Compensation

Full-time, Monday–Friday, 8-hour day shift.

Pay: $21–$23 per hour, [With additional pay available for exceptional experience.]

High performers will also be eligible for a performance bonus incentive.

Benefits:

• Dental insurance
• Health Insurance
• Accrued Paid Time Off