Remote Prior Authorization & Referral Specialist

UnitedHealth Group; Corvallis (OR); Hybrid; USD 25,000 - 44,000; Full time

Job summary

UnitedHealth Group is seeking a Prior-Authorization Specialist to coordinate internal and external authorizations for Corvallis Clinic patients. The role supports a remote-friendly Oregon workplace with periodic on-site training at the Corvallis location and standard hours 8:00am–4:30pm PST.

Responsibilities include obtaining authorizations, submitting documentation, reviewing records, and communicating with clinicians and insurance carriers to resolve denials or issues.

Qualifications

• 2+ years of experience in a medical office.
• 2+ years of experience interacting with insurance companies.
• 2+ years of experience in ICD-10 and CPT coding knowledge.

Responsibilities

• Efficiently obtains all authorizations for medical procedures prior to the date of service.
• Processes authorizations and submits clinical documentation to insurance carriers.
• Documents all prior authorization information in patient charts and communicates with scheduling and staff.
• Reviews medical records to ensure information is complete and accurate for authorizations.
• Monitors authorization requests to ensure timely processing and communicates approvals/denials.

Skills

Medical office experience

Insurance communications

ICD-10 & CPT coding

Microsoft Outlook/Teams

MS Word/Excel

Education

High School Diploma or GED

Tools

Microsoft Outlook

Microsoft Teams

Web applications

Word

Excel

Job description

UnitedHealth Group is seeking a Prior-Authorization Specialist to coordinate internal and external authorizations for Corvallis Clinic patients. The role supports a remote-friendly Oregon workplace with periodic on-site training at the Corvallis location and standard hours 8:00am–4:30pm PST.

Responsibilities include obtaining authorizations, submitting documentation, reviewing records, and communicating with clinicians and insurance carriers to resolve denials or issues.