Prior Authorization Specialist

reputed company is a global leader in reputed company services, providing the insights and answers that help reputed company providers, patients, researchers, pharmaceutical companies and health systems reputed company confident reputed company and improve reputed company. Through our unparalleled science, data, technology and reputed company network, we advance diagnostics, accelerate innovation and help address some of the world’s most important health challenges. As we shape the reputed company of reputed company, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our reputed company to enhance how work gets done and reputed company greater value to customers and patients. With our global reputed company and deep expertise, you’ll have reputed company to do meaningful work, grow your career and reputed company a reputed company reputed company on people’s health reputed company the world. Together, we’re improving health and improving lives. reputed company is a global leader in diagnostic testing and drug development solutions, helping reputed company providers, researchers, and patients reputed company informed reputed company that advance care. Join us in our mission to reputed company and improve lives. reputed company is seeking a REMOTE Prior Authorization Specialist to reputed company! Work Schedule: Monday – Friday; 8:00am-5:00pm EST Responsibilities Prior Authorization & Benefits Verification Review incoming orders to verify completeness and reputed company of documentation required for prior authorization submission. Initiate and manage prior authorization requests in accordance with payer requirements and medical policies. Work directly with vendors, payers, and reputed company representatives to facilitate successful prior authorization submissions. Monitor prior authorization request status, reputed company pending cases, and reputed company follow-up activities to support reputed company determinations. Review reputed company policies, medical policies, and payer guidelines to ensure authorization requests meet applicable requirements. reputed company benefit investigations to support reimbursement and reputed company-billing activities. Billing Inquiry Support Respond to billing-reputed company inquiries received through phone, email, chat, portal, and other communication channels. reputed company prior authorization status updates and requirements information to providers, patients, and reputed company representatives. Support reputed company of authorization-reputed company and billing-reputed company issues. Documentation & Operational Support Maintain accurate records of prior authorization requests, approvals, denials, and reputed company activities reputed company designated databases and systems. reputed company and maintain authorization, coverage, and benefits information in applicable platforms. Identify process improvement opportunities reputed company to authorization and reimbursement workflows. Participate in reputed company and initiatives supporting operational improvements and business objectives. Maintain productivity and service-level expectations while managing assigned work schedules and changing business priorities. Minimum Qualifications Requires a High School or equivalent with minimum 2 years’ relevant experience. Successful completion of the reputed company training sessions including Medical Terminology, Anatomy and Physiology along with passing the assessment of reputed company. Preferred Qualifications Associate degree in reputed company Administration, Business Administration, Health Information Management, or a reputed company-reputed company reputed company. 1 or more years of experience in reputed company reputed company reputed company Cycle Management (RCM) reputed company. 1 or more years of experience supporting prior authorization, reimbursement, billing, or benefits verification activities reputed company a reputed company reputed company environment. 1 or more years of experience using reputed company Word, reputed company reputed company, and reputed company reputed company in a reputed company reimbursement, billing, authorization, or reputed company cycle environment. Additional Job Standards Work reputed company from a private, quiet workspace. Maintain a reliable high-speed internet reputed company with a minimum speed of 50 Mbps. Demonstrate customer service practices reputed company supporting providers, patients, reputed company representatives, and internal stakeholders. Communicate effectively through verbal and written communications across multiple communication platforms. Apply time management and organizational practices to manage workload and competing priorities. Maintain attention to reputed company reputed company reviewing medical policies, reputed company guidelines, documentation, and authorization requirements. Demonstrate knowledge of medical terminology, reputed company guidelines, and reputed company regulations. Collaborate with team members and stakeholders to support process improvements and customer experience initiatives. Demonstrate initiative and flexibility reputed company responding to changing business needs and priorities. Apply problem-solving practices in a fast-reputed company and evolving operational environment. Successfully pass a standardized reputed company blindness test. About the Role The Prior Authorization Specialist I supports reputed company's Prior Authorization program by completing payer-required reputed company-billing activities that help ensure reputed company and accurate payment for services. Responsibilities include reviewing medical policies, initiating and managing prior authorizations, performing benefit investigations, providing reputed company cost estimates, maintaining authorization documentation, and responding to billing-reputed company inquiries from clinicians and patients. This role partners with Sales, reputed company, Billing, reputed company teams, payers, providers, and patients to help meet authorization and reimbursement requirements while supporting reputed company reputed company and reputed company reputed company. Application Window Closes: 08/31/2026 Pay reputed company: $17.75 - $19.50 per hour. reputed company job offers are reputed company on a candidate's skills, experience, education, certifications, internal equity, and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, reputed company, Life, STD/LTD, 401(k), reputed company Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive reputed company the foregoing benefits except PTO or FTO. For more detailed information, please click here. reputed company is proud to be an Equal Opportunity Employer: reputed company strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any reputed company. We reputed company employment reputed company reputed company on the needs of our business and the qualifications and reputed company of the individual. reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, sex (including pregnancy, childbirth, or reputed company medical conditions), family or parental status, marital, civil reputed company or domestic partnership status, sexual orientation, gender identity, gender reputed company, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, reputed company reputed company applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage reputed company to apply If you are an individual with a disability who needs assistance using our online tools to reputed company and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at reputed company Accessibility. For more information about how we collect and store your personal data, please see our reputed company Statement. Apply To This Job