Prior Authorization and Verification Specilist

Griffin Health; Derby (CT); Presencial; USD 24.000 - 39.000; Jornada completa

Descripción de la vacante

Griffin Hospital is seeking a Prior Authorization and Verification Specialist to ensure payers reimburse for scheduled services by obtaining required authorizations. The role requires strong communication, knowledge of medical terminology, and experience with insurance processes.

Associate degree or equivalent experience in healthcare or business administration is preferred, with at least five years in a related healthcare role. This is an on-site, full-time position in Derby, CT.

Formación

• Associate degree in healthcare or business administration or related coursework, or equivalent experience.
• At least 5 years of experience in healthcare performing related tasks.
• Excellent communication and customer service skills; familiarity with medical terminology and insurance processes.

Responsabilidades

• Ensure payer authorizations for scheduled services by contacting payers.
• Collect clinical, financial, and demographic information from patients as needed.

Conocimientos

Communication skills

Customer service

Medical terminology

Insurance processes

Attention to detail

Prioritization & multitasking

Educación

Associate degree in healthcare or business administration

Herramientas

Healthcare information systems

Descripción del empleo

Prior Authorization and Verification Specilist

Job Category: Administrative/Clerical

Requisition Number: PRIOR006039

• Posted : October 21, 2026
• Full-Time
• Hourly Range : $17.60 USD to $28.17 USD

Locations

Showing 1 location

Description

MAIN FUNCTION: The prior authorization specialist is responsible for ensuring that payers are prepared to reimburse Griffin Hospital for scheduled services in accordance with the payer-provider contract. The Authorization Specialist will contact the payers to request service authorization and may collect clinical, financial, and/or demographic information from patients as needed.

EDUCATION: Associate degree in healthcare or business administration and/or related coursework, or comparable experience.

EXPERIENCE: At least 5 years of experience in a healthcare performing related tasks

KNOWLEDGE/SKILLS: Excellent communication and customer service skills. Familiarity with medical terminology and healthcare insurance processes. Strong attention to detail. Ability to prioritize and multitask. Proficiency in the use of healthcare information systems preferred.

EOE/Minorities/Females/Vet/Disabled

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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