Prior Authorization & Insurance Verification Specialist

UC Health; Oregon; Hybrid; USD 36,000 - 54,000; Full time

Job summary

UC Health in Oregon is seeking an Insurance Verification Clerk to support outpatient services by confirming coverage and precertifications. You will verify eligibility and assist with precertifications to maximize reimbursement. Strong data entry skills and accurate documentation in Epic are essential.

Work closely with clinical teams to ensure timely authorizations, maintain organized daily worklists, and communicate issues for continuous improvement in a dynamic hospital setting.

Qualifications

• Minimum required: High School Diploma or GED.
• 1–2 years in Pre-certifications or prior authorizations in hospital or medical office settings.

Responsibilities

• Verify insurance coverage for outpatient services such as CT/MRI and chemotherapy to ensure reimbursement.
• Obtain preauthorization or precertification for scheduled services.
• Document eligibility and benefits data in the Epic system.
• Maintain daily worklists and prioritize tasks.
• Secure accounts in a timely manner according to standards.
• Report issues and improvements to department management.

Skills

Insurance verification

Communication

Data entry

Education

High School Diploma or GED

Job description

UC Health in Oregon is seeking an Insurance Verification Clerk to support outpatient services by confirming coverage and precertifications. You will verify eligibility and assist with precertifications to maximize reimbursement. Strong data entry skills and accurate documentation in Epic are essential.

Work closely with clinical teams to ensure timely authorizations, maintain organized daily worklists, and communicate issues for continuous improvement in a dynamic hospital setting.