Prior Authorization Specialist — Payer Liaison

Addison Group; North Richland Hills (TX); On-site; USD 57,308,000 - 65,904,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Job summary

Addison Group is hiring for our client, a specialty physician practice in North Richland Hills, TX, for two Prior Authorization Specialists to join its growing team.

In this role you will obtain insurance authorizations, verify coverage, and communicate with carriers to ensure services are approved before treatment. Prior authorization or healthcare insurance experience is preferred, with strong attention to detail and customer service.

Qualifications

• 1+ year of prior authorization or healthcare insurance experience.
• 2+ years preferred.

Responsibilities

• Obtain prior authorizations for medical services and procedures
• Contact insurance companies by phone to verify coverage and authorization requirements
• Submit and follow up on authorization requests through payer portals
• Verify patient insurance benefits and eligibility
• Gather necessary clinical and insurance information for authorization requests
• Follow up on pending authorizations and resolve outstanding requirements
• Document authorization status and payer communications accurately
• Communicate authorization updates with providers and internal staff
• Help identify and resolve insurance-related issues that could delay patient care
• Maintain productivity and accuracy standards as department processes continue to develop

Skills

Prior authorization

Healthcare insurance experience

Communication with insurers

Phone & customer service

Attention to detail

Learning new processes

Payer portal navigation

Tools

eClinicalWorks (eCW)

Job description

Addison Group is hiring for our client, a specialty physician practice in North Richland Hills, TX, for two Prior Authorization Specialists to join its growing team.

In this role you will obtain insurance authorizations, verify coverage, and communicate with carriers to ensure services are approved before treatment. Prior authorization or healthcare insurance experience is preferred, with strong attention to detail and customer service.