Senior Prior Authorization Specialist - Patient Access

Wellstar Health Systems; Augusta (GA); On-site; USD 43,000 - 62,000; Full time

Job summary

WellStar Health System is seeking a Patient Access Services Prior Authorization Specialist III to ensure payer authorization before services. You will work with physicians, nurses and financial advocates to resolve authorization issues and may assist with pre-registration and patient estimates.

Responsibilities include verifying insurance coverage, submitting accurate authorizations, and maintaining detailed documentation while adhering to WHS policies and HIPAA regulations.

Qualifications

• High School Diploma or GED required; additional Associate degree preferred.
• Minimum 1 year healthcare front-office or patient access experience.
• Experience with patient registration systems and Epic is preferred.
• Strong communication skills and attention to detail required.

Responsibilities

• Verify insurance eligibility and benefits; gather pre-service information.
• Obtain and document prior authorizations; liaise with payers and clinic staff.
• Assist with pre-registration and patient estimate preparation.
• Maintain accurate documentation and comply with HIPAA and WHS policies.
• Meet productivity benchmarks in a fast-paced healthcare environment.

Skills

Communication

Attention to detail

Problem solving

Typing 40 wpm

Cash handling

Professionalism

MS Office / Office Suite

Education

High School Diploma or GED

Associates degree preferred

Tools

Epic

Microsoft Office

Job description

WellStar Health System is seeking a Patient Access Services Prior Authorization Specialist III to ensure payer authorization before services. You will work with physicians, nurses and financial advocates to resolve authorization issues and may assist with pre-registration and patient estimates.

Responsibilities include verifying insurance coverage, submitting accurate authorizations, and maintaining detailed documentation while adhering to WHS policies and HIPAA regulations.