Prior Authorization Specialist — DME & Insurance Verification

Ultipro; Lafayette (LA); On-site; USD 32,000 - 42,000; Full time

Job summary

Ultipro in Lafayette, LA is seeking an Insurance Verification/Authorization Clerk to support the revenue cycle by obtaining prior authorizations for durable medical equipment and verifying patient demographics and insurance information. The role requires strong communication with patients, physicians, and internal teams to ensure timely approvals.

The candidate should have experience in insurance verification or authorizations and familiarity with billing systems; the position involves clerical

Qualifications

• 2-4 years in DME or medical office experience preferred.
• Minimum of 1 year of insurance verification or authorizations required.
• Knowledge of patient database and billing systems.
• Understanding of CPT/ICD-10 codes and insurance policies.

Responsibilities

• Review and obtain compliant documentation, medical records and prescriptions for prior authorization submission.
• Obtain prior authorization from insurance payor for durable medical equipment.
• Verify patient demographics and health insurance information; review tasks daily for authorizations/appeals.
• Notify management of non-compliance and deadlines.
• Maintain communication with patients, physicians' offices and internal teams for patient benefit.
• Handle clerical tasks: answer calls, fax, emails.
• Refer concerns to Revenue Cycle Manager and Supervisor; report issues.
• Engage in other tasks and projects as assigned.

Skills

Organizational skills

Communication skills

Attention to detail

Microsoft Office

Outlook

Word

Excel

Education

High School Diploma or equivalent

Tools

Microsoft Office

Outlook

Word

Excel

Job description

Ultipro in Lafayette, LA is seeking an Insurance Verification/Authorization Clerk to support the revenue cycle by obtaining prior authorizations for durable medical equipment and verifying patient demographics and insurance information. The role requires strong communication with patients, physicians, and internal teams to ensure timely approvals.

The candidate should have experience in insurance verification or authorizations and familiarity with billing systems; the position involves clerical