Prior Authorization Specialist

6AM City, LLC; Washington; On-site; USD 28,000 - 32,000; Full time

Job summary

6AM City, LLC in Wallingford, CT is seeking a Prior Authorization Specialist to join its cardiology practice. You will obtain insurance approvals for procedures, imaging, and medications, coordinating with patients and providers to ensure timely care.

The role is full-time, contract-to-hire, on-site, with a pay range of $20.00–$23.00/hr. Ideal candidates have 1–3 years of relevant experience, familiarity with EOBs, EMR systems, and strong communication skills.

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).
• Proficiency with EMR systems and Microsoft Office.
• Cardiology experience and Epic EMR are a plus.

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.

Skills

Prior Authorization

Insurance Verification

Patient Registration

Medical Scheduling

Patient Access

Authorizations Management

EMR/Epic Systems

Customer Service

Job description

Job Description

Job Description

Prior Authorization Specialist

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
• Time Off/Leave (PTO, Vacation or Sick Leave)

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.