Prior Authorization Specialist I

OU Health; Oklahoma City (OK); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plans

Dental plans

Benefits package

Job summary

OU Health is seeking a Prior Authorization Specialist I in Oklahoma City to complete authorization workflows under defined protocols, using Epic and payer portals. You will verify benefits, track statuses, and escalate nonstandard cases while collaborating with multiple departments across the organization to ensure timely approvals.

The role requires a high school credential and a focus on accuracy, timeliness, and compliance.

Qualifications

• High School Diploma or GED required.
• No experience required.
• 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.

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 nonstandard cases per protocol.
• Collaborate with departments across the organization.
• Performs other duties as assigned

Skills

Payer types knowledge

Workflow adherence

Epic and payer portals

Accuracy and timeliness

Written and verbal communication

Education

High School Diploma or GED

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 nonstandard 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.
• Developingproficiencyin Epic andpayer 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.