Remote Prior Authorization Specialist — EPIC Expertise

Valid8 Financial, Inc.; Cheyenne (WY); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

Health Insurance

Job summary

Valid8 Financial, Inc. is seeking a Prior Authorization Specialist to manage insurance verifications and prior authorizations. The role requires EPIC experience and strong communication, with a remote work setup and HIPAA compliance as part of daily duties.

You will gather documentation, coordinate with payors and clinicians, and drive authorizations from submission to approval, including utilization review and EMR system usage.

Qualifications

• 2+ years of prior authorization experience -Required
• Experience in prior authorization, utilization review, insurance verification, and EMR systems.
• High School Diploma required; additional education in business or healthcare preferred.

Responsibilities

• Complete insurance verifications and submit prior authorizations.
• Track authorizations and gather required documentation.
• Communicate with providers and insurance payors about status.
• Follow authorizations through to approval and maintain HIPAA compliance.
• Support daily revenue cycle operations.

Skills

EPIC experience

Prior authorization

Communication skills

Organizational skills

HIPAA compliance

Education

High School Diploma

Healthcare/business coursework preferred

Tools

EMR systems

Job description

Valid8 Financial, Inc. is seeking a Prior Authorization Specialist to manage insurance verifications and prior authorizations. The role requires EPIC experience and strong communication, with a remote work setup and HIPAA compliance as part of daily duties.

You will gather documentation, coordinate with payors and clinicians, and drive authorizations from submission to approval, including utilization review and EMR system usage.