Senior Prior Authorization Specialist II - Complex Approvals

OU Medicine; Oklahoma; On-site; USD 48,000 - 56,000; Full time

Job summary

OU Health is seeking a qualified Prior Authorization Specialist II to manage complex authorizations across multiple payers and specialties. The role requires independent handling of complex requests and coordination with clinical teams to obtain necessary documentation.

The ideal candidate has 3+ years of prior authorization experience, CHAA or PACS certification within the first year, and strong communication skills to resolve denials and ensure timely determinations.

Qualifications

• Experience interpreting payer medical policies.
• Knowledge of specialty‑driven authorization requirements.
• Ability to analyze denial trends and recommend corrective actions.
• Excellent written and verbal communication skills.

Responsibilities

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

Education

High School Diploma or GED

Job description

OU Health is seeking a qualified Prior Authorization Specialist II to manage complex authorizations across multiple payers and specialties. The role requires independent handling of complex requests and coordination with clinical teams to obtain necessary documentation.

The ideal candidate has 3+ years of prior authorization experience, CHAA or PACS certification within the first year, and strong communication skills to resolve denials and ensure timely determinations.