New - Prior Authorization Specialist (Experienced)- Remote

Valid8 Financial, Inc.; Cheyenne (WY); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

Health Insurance

Job summary

Valid8 Financial, Inc. is seeking a Prior Authorization Specialist to manage insurance verifications and prior authorizations. The role requires EPIC experience and strong communication, with a remote work setup and HIPAA compliance as part of daily duties.

You will gather documentation, coordinate with payors and clinicians, and drive authorizations from submission to approval, including utilization review and EMR system usage.

Qualifications

• 2+ years of prior authorization experience -Required
• Experience in prior authorization, utilization review, insurance verification, and EMR systems.
• High School Diploma required; additional education in business or healthcare preferred.

Responsibilities

• Complete insurance verifications and submit prior authorizations.
• Track authorizations and gather required documentation.
• Communicate with providers and insurance payors about status.
• Follow authorizations through to approval and maintain HIPAA compliance.
• Support daily revenue cycle operations.

Skills

EPIC experience

Prior authorization

Communication skills

Organizational skills

HIPAA compliance

Education

High School Diploma

Healthcare/business coursework preferred

Tools

EMR systems

Job description

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
• 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

Job Type, Schedule & Compensation

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

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

• Health Insurance