Remote Prior Authorization Specialist II – Complex Auths

OU Health; Oklahoma; Hybrid; USD 44,000 - 60,000; Full time

Job summary

OU Health is seeking a Prior Authorization Specialist II in Oklahoma. The role supports pre-visit services, working with multiple payers and specialties to manage authorizations and ensure medical necessity documentation is obtained.

Remote eligibility is limited to candidates residing and working in OK, with on-site presence required at least monthly. The ideal candidate has at least 3 years of prior authorization experience, High School Diploma or GED, and CHAA or PACS certification within the

Qualifications

• Experience in pre-visit services and authorizations.
• Ability to interpret payer policies and utilization criteria.
• Experience with denial trends and corrective actions.

Responsibilities

• Independently manage complex and specialty-specific authorization requests.
• Interpret payer medical policies and utilization management criteria.
• Resolve authorization denials and incomplete determinations.
• Coordinate with clinical teams to obtain medical necessity documentation.

Skills

Policy interpretation

Authorization requirements

Analytical skills

Written & verbal communication

Education

High School Diploma or GED

Job description

OU Health is seeking a Prior Authorization Specialist II in Oklahoma. The role supports pre-visit services, working with multiple payers and specialties to manage authorizations and ensure medical necessity documentation is obtained.

Remote eligibility is limited to candidates residing and working in OK, with on-site presence required at least monthly. The ideal candidate has at least 3 years of prior authorization experience, High School Diploma or GED, and CHAA or PACS certification within the