Prior Authorization & Appeals Specialist

Jobgether; United States; Remote; USD 50,000 - 80,000; Full time

Job summary

Jobgether in the United States is seeking a detail-oriented healthcare administrator to manage prior authorization cases from initial clinical review through payer portal submission. You will coordinate with clinicians and insurance portals, ensuring accurate documentation and timely processing.

Responsibilities include monitoring cases, following up with insurers, and preparing appeals for denials. Ideal candidates have experience with ICD-10 and CPT coding, excellent organizational skills, and

Qualifications

• Experience in prior authorization, healthcare admin, or medical billing with ICD-10/CPT knowledge.
• Strong organizational skills, detail orientation, and ability to work independently.

Responsibilities

• Manage prior authorization requests from clinical review to payer portal submission.
• Monitor cases, follow up with insurers, and prepare appeals for denials.

Skills

Prior authorization

Healthcare admin

Medical billing

ICD-10 knowledge

CPT knowledge

Job description

Jobgether in the United States is seeking a detail-oriented healthcare administrator to manage prior authorization cases from initial clinical review through payer portal submission. You will coordinate with clinicians and insurance portals, ensuring accurate documentation and timely processing.

Responsibilities include monitoring cases, following up with insurers, and preparing appeals for denials. Ideal candidates have experience with ICD-10 and CPT coding, excellent organizational skills, and