Patient Access: Prior Authorization Pro

Beacon Health System; South Bend (IN); On-site; USD 48,000 - 64,000; Full time

Job summary

Beacon Health System in the United States (Indiana) is seeking a Prior Authorization Specialist to evaluate service orders for insurance authorization, gather clinical documentation, and ensure timely processing. You will work with multiple EMR platforms and insurance portals to support accurate authorizations and reimbursement, while providing compassionate service to patients and families.

The role emphasizes accuracy, fast-paced work, and collaboration across departments to resolve denials

Qualifications

• Demonstrates well developed communication skills to interact with a variety of contacts.
• Analytical skills to solve problems and interpret data.
• Promotes collaboration to improve healthcare delivery.

Responsibilities

• Serve as primary contact for all designated prior authorization needs.
• Identify, collect, and coordinate clinical documentation to support qualifications.
• Evaluate orders for insurance coverage and authorization requirements.
• Ensure proper testing is performed and tested per guidelines.
• Support the appeal process by coordinating with providers and authorization agents.
• Maintain standardized records for tracking department actions and metrics.

Skills

Communication skills

Analytical skills

Collaboration

Professionalism

Education

Associate's Degree in Business or Health Care

Medical Assistant program (preferred)

Tools

Microsoft Office

EMR systems

Insurance websites

Job description

Beacon Health System in the United States (Indiana) is seeking a Prior Authorization Specialist to evaluate service orders for insurance authorization, gather clinical documentation, and ensure timely processing. You will work with multiple EMR platforms and insurance portals to support accurate authorizations and reimbursement, while providing compassionate service to patients and families.

The role emphasizes accuracy, fast-paced work, and collaboration across departments to resolve denials