Senior Precertification & Authorization Specialist

Elevance Health; Plano (TX); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Elevance Health is seeking a Referral Specialist III – Paragon in Plano, TX. The role emphasizes precertification and prior authorization review across inpatient and outpatient services, with hybrid in-office engagement three days per week and a Monday–Friday schedule.

Candidates should have a HS diploma and 3 years in healthcare customer service. The position requires strong communication, multitasking, and problem-solving skills, with opportunities to mentor teammates and contribute to audit

Qualifications

• HS diploma or equivalent with 3 years healthcare customer service experience.
• Experience with precertification and prior authorization is a plus.
• Strong verbal and written communication skills are essential.

Responsibilities

• Provide precertification and prior authorization review support.
• Handle escalated calls and assist junior team members.
• Train and mentor associates to improve call handling and accuracy.
• Audit performance and track audit statistics for quality assurance.
• Multitask across calls, texts, faxes, and electronic queues while documenting notes.

Skills

Customer service

Healthcare experience

Communication

Education

HS diploma or equivalent

Job description

Elevance Health is seeking a Referral Specialist III – Paragon in Plano, TX. The role emphasizes precertification and prior authorization review across inpatient and outpatient services, with hybrid in-office engagement three days per week and a Monday–Friday schedule.

Candidates should have a HS diploma and 3 years in healthcare customer service. The position requires strong communication, multitasking, and problem-solving skills, with opportunities to mentor teammates and contribute to audit