Prior Authorization Specialist - Payer Liaison (Remote)

DeCoach Recovery Centre; Cincinnati (OH); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, Dental and Vision Benefits

A Company Matched 401(k) plan

Tuition Reimbursement

STAR Eligible Facilities to Assist

Job summary

DeCoach Recovery Centre in Cincinnati, OH is seeking a Prior Authorization Specialist to obtain approvals from insurance providers before treatment or medications begin. You will review clinical documentation, submit requests, and communicate with payers to ensure coverage meets requirements.

The role emphasizes accurate chart review, timely follow-ups, and collaboration with healthcare teams. Training will occur onsite with potential remote work after completion.

Qualifications

• Minimum of 2 years experience in prior authorizations or revenue cycle.
• Excellent communication and negotiation skills.
• Proficiency with Microsoft Office Suite.

Responsibilities

• Verify patient eligibility and coverage limits
• Review medical charts to ensure clinical notes match what insurance requires
• Send requests for prior approval to insurance providers
• Track pending cases and follow up with insurance agents

Skills

Communication skills

Negotiation skills

MS Office proficiency

Education

High school diploma or equivalent

Associate or Bachelor's degree preferred

Job description

DeCoach Recovery Centre in Cincinnati, OH is seeking a Prior Authorization Specialist to obtain approvals from insurance providers before treatment or medications begin. You will review clinical documentation, submit requests, and communicate with payers to ensure coverage meets requirements.

The role emphasizes accurate chart review, timely follow-ups, and collaboration with healthcare teams. Training will occur onsite with potential remote work after completion.