Specialty Meds Prior Authorization Specialist

Rheumatology Alliance LLC; Dallas (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

Rheumatology Associates in Dallas, TX seeks a detail-oriented Prior Authorization Specialist to join the Billing Department. You will manage authorizations for specialty/injection therapies and verify benefits to prevent delays in patient care.

Proficiency with eClinicalWorks (eCW) and strong communication skills are required to coordinate with providers, staff, and payers to ensure timely authorizations and accurate documentation.

Qualifications

• Strong organizational skills to manage high volume of authorizations and deadlines.
• Ability to multitask and prioritize in a fast-paced environment.
• Excellent written and verbal communication with providers, staff, and patients.

Responsibilities

• Obtain and manage prior authorizations for specialty medications/injection therapies.
• Verify insurance coverage and determine authorization requirements ahead of scheduled services.
• Submit, track, and follow up on requests through payer portals, fax, and calls.

Skills

Organizational skills

Multitasking

Attention to detail

Verbal communication

Written communication

Tools

eClinicalWorks (eCW)

Job description

Rheumatology Associates in Dallas, TX seeks a detail-oriented Prior Authorization Specialist to join the Billing Department. You will manage authorizations for specialty/injection therapies and verify benefits to prevent delays in patient care.

Proficiency with eClinicalWorks (eCW) and strong communication skills are required to coordinate with providers, staff, and payers to ensure timely authorizations and accurate documentation.