Remote Prior Authorization Specialist (Healthcare)

CorroHealth, Inc.; Northern (KY); Remote; USD 42,000 - 62,000; Full time

Job summary

CorroHealth, Inc. is seeking a detail-oriented Prior Authorization Specialist to support outpatient services through payer research, documentation, and submission.

In this remote full-time role, you will determine authorization requirements, gather clinical data, submit requests, and coordinate with physicians and payers to obtain approvals in a timely, HIPAA-compliant manner while meeting productivity goals.

Qualifications

• Healthcare experience and familiarity with medical terminology.
• Knowledge of revenue cycle processes and insurance carrier workflows.
• Ability to manage multiple priorities and meet deadlines.
• Basic computer skills and experience with online payer portals.

Responsibilities

• Determine if payer authorization is required for outpatient services.
• Submit authorization requests and gather clinical data as needed.
• Complete initial medical necessity checks and follow up with physicians.
• Coordinate with physicians and payers to obtain timely approvals while maintaining HIPAA compliance.
• Maintain productivity guidelines and ensure accurate documentation.

Skills

Healthcare experience

Medical terminology

Revenue cycle understanding

Prioritization

Computer basics

Insurance portal familiarity

Education

High School Diploma or GED

Job description

CorroHealth, Inc. is seeking a detail-oriented Prior Authorization Specialist to support outpatient services through payer research, documentation, and submission.

In this remote full-time role, you will determine authorization requirements, gather clinical data, submit requests, and coordinate with physicians and payers to obtain approvals in a timely, HIPAA-compliant manner while meeting productivity goals.