Prior Authorization Specialist – Pulmonary Care

Kids for the Future; Knoxville (TN); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

401(k)

Health insurance

Paid time off

Vision insurance

Job summary

StatCare is a private pulmonary, critical care, sleep, and hospitalist practice serving East Tennessee. The Prior Authorization Coordinator will secure authorizations for diagnostic testing, collaborate with physicians, patients, insurers, and labs to minimize delays in care.

The ideal candidate has 1–2 years of prior authorization or medical office experience, familiarity with insurance guidelines, and strong communication skills.

Qualifications

• Minimum of 1–2 years of prior authorization, insurance verification, or medical office experience.
• Knowledge of insurance guidelines and medical terminology.
• Proficiency with electronic health records (EHR) and Microsoft Office Suite.
• Excellent communication and customer service skills.
• Ability to work independently and in a fast-paced team environment.
• HIPAA compliance and patient confidentiality understanding.

Responsibilities

• Obtain prior authorizations for diagnostic testing and procedures.
• Verify insurance coverage before submissions.
• Communicate with insurance providers and diagnostic centers to facilitate approvals.
• Track and follow up on pending authorizations.
• Document all authorization activities in the patient record.
• Notify providers and patients about authorization status.
• Collaborate with clinical and administrative staff to prevent delays.
• Assist with appeals or re-submissions when necessary.
• Maintain HIPAA compliance and confidentiality.

Skills

Prior authorization

Insurance verification

Medical office experience

EHR proficiency

Communication skills

Teamwork

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Electronic Health Records (EHR)

Job description

StatCare is a private pulmonary, critical care, sleep, and hospitalist practice serving East Tennessee. The Prior Authorization Coordinator will secure authorizations for diagnostic testing, collaborate with physicians, patients, insurers, and labs to minimize delays in care.

The ideal candidate has 1–2 years of prior authorization or medical office experience, familiarity with insurance guidelines, and strong communication skills.