Remote Prior Authorization Specialist — Expedite Approvals

United States Digital Space LLC; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

Raventra Health is seeking a Prior Authorization Specialist to coordinate requests for scheduled procedures, treatments, and services, working with payer portals, provider teams, and clinical documentation to secure timely approvals. You will submit and track authorizations across multiple payers, gather supporting records, and communicate gaps to the team, while staying current on payer requirements.

This remote role requires 2+ years in prior authorization or related healthcare work,

Qualifications

• 2+ years of experience in prior authorization, insurance verification, medical billing, or a related healthcare role.
• Experience working with insurance payer portals and authorization requirements.
• Ability to understand and interpret clinical documentation.
• Strong attention to detail and ability to manage multiple authorization requests simultaneously.
• Persistence and strong follow-through when working through multi-step authorization or appeal processes.
• Strong written and verbal communication skills when working with providers, payers, and internal teams.
• Ability to work independently while meeting productivity and turnaround expectations.
• HIPAA-compliant private workspace and ability to work effectively in a fully remote role.

Responsibilities

• Submit and track prior authorization requests across multiple insurance payers
• Gather and review clinical documentation required to support authorization requests
• Communicate with provider teams to obtain missing information or documentation
• Follow up with payers on pending requests and monitor authorization status through resolution
• Identify authorization issues and pursue reconsiderations or appeals when requests are denied
• Maintain accurate records of authorization requests, decisions, and follow-up actions
• Stay current on payer-specific authorization requirements and communicate relevant changes to the team
• Escalate delays, complex cases, and potential barriers to timely patient care when appropriate

Skills

Communication

Attention to detail

Time management

Independent work

Multitasking

Tools

Epic

Athena

eClinicalWorks

Job description

Raventra Health is seeking a Prior Authorization Specialist to coordinate requests for scheduled procedures, treatments, and services, working with payer portals, provider teams, and clinical documentation to secure timely approvals. You will submit and track authorizations across multiple payers, gather supporting records, and communicate gaps to the team, while staying current on payer requirements.

This remote role requires 2+ years in prior authorization or related healthcare work,