A company is looking for a Specialist I, Prior Authorization to join their Prior Authorization department.
Key Responsibilities
- Review, process, and troubleshoot incoming Prior Authorization requests for medications
- Communicate prior authorization criteria and assist providers in submitting requests
- Maintain compliance with regulatory guidelines and participate in departmental projects
Required Qualifications
- High school degree or equivalent; post high school education in relevant fields is desired
- Previous customer service experience is required
- Data entry experience is preferred
- Experience in health insurance or managed care is preferred
- Prior authorization processing experience is desired
