Prior Authorization Pro: Insurance Verification & Preauth

EngageMED, Inc.; Little Rock (AR); On-site; USD 42,000 - 64,000; Full time

Job summary

EngageMED, Inc. in Little Rock, AR is seeking a Prior Authorization Specialist to verify insurance and secure precertifications for inpatient, outpatient and ED procedures. You will review demographics, correct errors, and communicate benefits to patients.

The role requires experience with payor guidelines, strong problem solving, and proficiency in Microsoft Office. You will navigate payer portals and collaborate with care teams to minimize delays and denials.

Qualifications

• Two years hospital or medical office experience in billing, pre-certification and authorization.
• Extensive knowledge of authorization processes and payer guidelines.
• Proficient in Microsoft Office and medical terminology.

Responsibilities

• Review demographic, billing and insurance information for accuracy.
• Verify insurance eligibility and obtain precertification/authorization.
• Communicate policy benefits to patients and respond to inquiries.
• Navigate payer websites to request approvals and manage denials.
• Prepare documentation for authorization and ensure timely submissions.
• Support revenue cycle activities and maintain confidentiality.

Skills

Teamwork Orientation

Service Orientation

Achieves Results

Learning and Growth

Communication

Analytical Thinking

Education

LPN or RN license

Tools

Microsoft Office Suite

Internet navigation

Database management

Spreadsheet software

Graphic presentation software

Job description

EngageMED, Inc. in Little Rock, AR is seeking a Prior Authorization Specialist to verify insurance and secure precertifications for inpatient, outpatient and ED procedures. You will review demographics, correct errors, and communicate benefits to patients.

The role requires experience with payor guidelines, strong problem solving, and proficiency in Microsoft Office. You will navigate payer portals and collaborate with care teams to minimize delays and denials.