Prior Authorization Specialist I

oumedicine; Central Park (WA); On-site; USD 38,000 - 60,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plan

Dental plan

Job summary

oumedicine is seeking a Prior Authorization Specialist I to perform prior authorization workflows under general supervision, using defined protocols and payer rules. You will verify benefits, track status, and escalate as needed while collaborating across departments.

Education required is a High School Diploma or GED; no specific experience is required. Proficiency with Epic and payer portals will develop on the job, with emphasis on accuracy and timely processing.

Qualifications

• Education: High School Diploma or GED required.
• Foundational understanding of payer types and referral/authorization concepts.
• Developing proficiency in Epic and payer portals.
• Ability to follow standardized workflows and documentation requirements.
• Good written and verbal communication skills.

Responsibilities

• Submit prior authorization requests using standard payer workflows.
• Verify basic benefits, coverage, and authorization requirements.
• Track authorization status and update Epic accurately.
• Escalate incomplete or non-standard cases per protocol.
• Collaborate with departments across the organization.

Skills

Payer knowledge

Epic proficiency

Communication skills

Workflow documentation

Attention to detail

Team collaboration

Education

High School Diploma or GED

Tools

Epic

Payer portals

Job description

Position Title:

Prior Authorization Specialist I

Department:

Pre-visit Services

Job Description:

General Description

Under general supervision, the Prior Authorization Specialist I complete prior authorization workflows using defined protocols, system and payer rules.

Essential Job Duties

• Submit prior authorization requests using standard payer workflows.
• Verify basic benefits, coverage, and authorization requirements.
• Track authorization status and update Epic accurately.
• Escalate incomplete or non-standard cases per protocol.
• Collaborate with departments across the organization.

General Job Duties

Performs other duties as assigned

Minimum Requirements

• Education : High School Diploma or GED required.
• Certification/License/Registration: None required.
• Experience: No experience required.

Knowledge, Skills & Abilities

• Foundational understanding of payer types and referral/authorization concepts.
• Ability to follow standardized workflows and documentation requirements.
• Developing proficiency in Epic and payer portals.
• Accuracy, timeliness, and compliance focus.
• Good written and verbal communication skills

OU Health is an equal opportunity employer.

We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.