Prior Authorization Specialist

TEKsystems; Wallingford (CT); On-site; USD 28,000 - 32,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Disability insurance

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Job summary

TEKsystems in Wallingford, CT is seeking a Prior Authorization Specialist to support our cardiology practice onsite. The role focuses on obtaining timely insurance approvals for procedures, imaging, and medications while ensuring a smooth patient experience.

You will verify benefits, review EOBs, communicate with carriers and providers, and document activity in the EMR. This contract-to-hire opportunity offers on-site work and competitive hourly pay.

Qualifications

• 1–3 years of prior authorization or healthcare admin experience.
• Experience with insurance verification and prior authorizations.
• Knowledge of Explanation of Benefits (EOBs).
• Strong communication, organization, and customer service skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Proficiency with EMR systems and Microsoft Office.

Responsibilities

• Submit, track, and follow up on prior authorization requests for procedures, testing, imaging, and medications.
• Verify insurance benefits and coverage requirements.
• Review EOBs and resolve authorization issues.
• Communicate with insurance carriers, patients, providers, and staff on status.
• Document authorization activity in the EMR.
• Follow up on denials and appeals to minimize delays.
• Stay updated on payer guidelines and cardiology authorization requirements.
• Assist with patient scheduling and front-office duties as needed.

Skills

Prior Authorization

Insurance Verification

Patient Registration

Medical Scheduling

Patient Access

Authorizations Management

EMR/Epic Systems

Customer Service

Tools

Epic EMR

Job description

Location: Wallingford, CT (On-site)

Schedule: Monday-Friday, 8:00 AM-5:00 PM

Employment Type: Full-Time | Contract-to-Hire

Position Overview

A leading cardiology practice in Connecticut is seeking a Prior Authorization Specialist to join its Wallingford office. This individual will play a key role in supporting patient care by obtaining timely insurance approvals for cardiology procedures, imaging services, and medications while ensuring a seamless experience for patients and providers.

Key Responsibilities

• Submit, track, and follow up on prior authorization requests for procedures, diagnostic testing, imaging, and medications.
• Verify insurance benefits and coverage requirements.
• Review Explanation of Benefits (EOBs) and resolve authorization-related issues.
• Communicate with insurance carriers, patients, providers, and clinical staff regarding authorization status.
• Document all authorization activity accurately within the EMR system.
• Follow up on pending requests, denials, and appeals to minimize delays in patient care.
• Maintain current knowledge of payer guidelines and cardiology-specific authorization requirements.
• Assist with patient scheduling, registration, and other front-office support functions as needed.

Required Qualifications

• 1-3 years of prior authorization, medical office, patient access, or healthcare administrative experience.
• Experience with insurance verification and prior authorizations.
• Knowledge of Explanation of Benefits (EOBs).
• Strong communication, organizational, and customer service skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Proficiency with EMR systems and Microsoft Office.

Preferred Qualifications

• Cardiology experience.
• Familiarity with CPT and ICD-10 coding.
• Experience with Epic EMR.
• Background supporting imaging or MRI authorizations.
• Medical scheduling or patient registration experience.

Skills

• Prior Authorization
• Insurance Verification
• Patient Registration
• Medical Scheduling
• Patient Access
• Authorizations Management
• EMR/Epic Systems
• Customer Service

Work Environment

• Fast-paced cardiology practice.
• Collaborative healthcare team environment.
• Opportunity for long-term growth through a contract-to-hire position.

Job Type & Location

This is a Contract to Hire position based out of Wallingford, CT.

Pay And Benefits

The pay range for this position is $20.00 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post‑tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program

Workplace Type This is a fully onsite position in Wallingford,CT. Application Deadline This position is anticipated to close on Aug 24, 2026.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.