Prior Authorization Specialist — Healthcare

Integrated Resources Inc.; Milwaukee (WI); On-site; USD 40,000 - 60,000; Full time

Job summary

A leading company in workforce solutions is seeking a dedicated individual to manage prior authorization requests within a clinical environment. The role involves processing requests, communicating with healthcare providers, and ensuring documentation is accurate. Ideal candidates will have experience in healthcare settings and knowledge of medical terminology, along with proficiency in Microsoft Office tools.

Qualifications

• Previous experience in a clinical environment.
• Experience in a managed health care setting or insurance environment.

Responsibilities

• Process and document all incoming inpatient and outpatient prior authorization requests.
• Communicate effectively with customers/providers about PA requests status.
• Enter PA requests into the authorization database and prepare documentation.

Skills

Knowledge of Medical Terminology

Tools

Microsoft Office (PowerPoint)

Job description

A leading company in workforce solutions is seeking a dedicated individual to manage prior authorization requests within a clinical environment. The role involves processing requests, communicating with healthcare providers, and ensuring documentation is accurate. Ideal candidates will have experience in healthcare settings and knowledge of medical terminology, along with proficiency in Microsoft Office tools.