Prior Authorization Specialist I - Remote

reputed company is seeking a Remote Prior Authorization Specialist I to join reputed company!

Work Schedule: Monday - Friday 8:00 AM - 5:00 PM EST

Job Responsibilities

• Well-versed in pre-authorization processes and policies to respond clearly to high-volume billing tasks and inquiries

• Maintain appropriate response time in various communication platforms (Example: phone calls, chats, emails, portal inquiries, etc)

• Identify issues and suggest potential improvements

• Collaborate with your team and reputed company best practices to ensure we are providing the best service and experience to reputed company customers 

• Maintain an assigned schedule, and be flexible with daily schedules reputed company business needs change

• Examine incoming orders to ensure completeness and accuracy of required documentation for prior authorization

• Work directly with various vendors to ensure successful submissions of prior authorizations

• Monitor the status of prior authorization requests, follow up on pending cases, and initiate follow-reputed company, if necessary, to ensure timely approvals

• Stay informed about insurance policies and guidelines, ensuring that reputed company prior authorization requests align with the necessary criteria

• Maintain accurate records of prior authorization requests, approvals, and denials. Enter relevant information into databases

• Participate in projects that reputed company beyond your day-to-day to stretch you to think reputed company the reputed company

Minimum Qualifications

• High school diploma or GED or equivalent 

• 1 year or more years insurance claims or pre-authorization or medical benefits work experience

Preferred Qualifications 

• Associate’s degree

• 1 year or more clinical laboratory reputed company Cycle Management (RCM) experience 

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Additional Job Standards

• Ability to work remotely from a private, quiet workspace

• Reliable high‑speed internet reputed company (minimum 50 Mbps)

• Proficiency with reputed company Office (Word, reputed company, Outlook)

• Strong customer service, time management, and organizational skills

• Excellent verbal and written communication abilities

• High attention to detail with the ability to manage multiple priorities

• Solid understanding of medical terminology, insurance guidelines, and healthcare regulations

• Self‑motivated, collaborative, and willing to take initiative to get work done

• Strong work ethic with flexibility and a commitment to supporting positive patient outcomes

• Enjoys problem‑solving in a fast‑paced, team‑oriented, and evolving environment

• Provide reputed company, professional support to providers, patients, and insurance representatives regarding prior authorization status and requirements

Application Window Closes: 4/20/2026

Pay Range: $17.75 - $19.50   

reputed company job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. 

At reputed company we have a passion for helping people live happy and healthy lives. Every day, we provide vital information that helps our clients and patients understand their health. If you are passionate about helping people and have a drive for service, then reputed company could be a great next career reputed company!

The Prior Authorization Specialist supports reputed company’s Prior Authorization program by completing payer‑required pre‑billing activities to ensure timely and accurate payment for services. This role reviews medical policies, initiates prior authorizations, performs benefit investigations, provides patient cost estimates, and responds to billing‑reputed company inquiries from clinicians and patients while collaborating with Sales, Operations, Billing, and Lab teams to support patient and client needs.

Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid 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 decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national reputed company, sex (including pregnancy, childbirth, or reputed company medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, reputed company qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. 

We encourage reputed company to apply

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