Senior Prior Authorization Specialist

Wellstar Health System; Grovetown (GA); On-site; USD 50,000 - 65,000; Full time

Job summary

Wellstar Health System seeks a Prior Authorization Specialist III to verify insurance, secure authorizations, and support pre-registration in a fast-paced environment. You will collaborate with physicians and clinic staff to resolve issues related to prior authorizations and patient estimates.

Responsibilities include documenting notes, maintaining data integrity, and meeting productivity benchmarks while upholding HIPAA and confidentiality standards.

Qualifications

• Must have strong communication and problem-solving abilities.
• Prior experience with patient access or revenue cycle helps.
• Familiarity with Epic or similar registration systems preferred.

Responsibilities

• Verify insurance eligibility and benefits; gather and confirm information.
• Secure prior authorizations and document activities in the system.
• Coordinate with physicians, clinics and financial staff to resolve issues.
• Assist with pre-registration tasks and patient estimates as needed.
• Maintain accurate notes and ensure data integrity in all queues.

Skills

Communication skills

Attention to detail

Critical thinking

Data entry

Active listening

Typing speed

Cash handling

Professionalism

Education

High School Diploma

Associate's Degree

Tools

Epic systems

Microsoft Office

Patient registration systems

Job description

Wellstar Health System seeks a Prior Authorization Specialist III to verify insurance, secure authorizations, and support pre-registration in a fast-paced environment. You will collaborate with physicians and clinic staff to resolve issues related to prior authorizations and patient estimates.

Responsibilities include documenting notes, maintaining data integrity, and meeting productivity benchmarks while upholding HIPAA and confidentiality standards.