Prior Authorization Department

Position Title



Prior Authorization Specialist / Prior Authorization Coordinator




Department



Prior Authorization Department


Job Summary



The Prior Authorization Specialist is responsible for obtaining insurance authorizations and approvals for medical services, treatments, medications, procedures, and equipment. This role works closely with physicians, clinical staff, insurance companies, and patients to ensure timely approvals and accurate documentation while maintaining compliance with payer guidelines and company policies.



Essential Duties and Responsibilities

•  Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments 


•  Verify patient insurance eligibility and benefits 


•  Review clinical documentation to ensure authorization req...