Job Description

Prior Authorization Specialist | Tulsa, OK 

M-F 8-5

Job Description:

As a Prior Authorization Specialist, you'll be a key player in ensuring that patients receive timely access to the medical services they need. You’ll handle the prior authorization process from start to finish, working closely with healthcare providers, insurance companies, and patients. Your role is crucial in navigating the complexities of insurance coverage and making the authorization process as smooth as possible.

Responsibilities:

Authorization Processing: Submit and follow up on prior authorization requests to ensure timely approval for medical procedures, treatments, and medications.

Communication: Act as the liaison between healthcare providers, insurance companies, and patients. Communicate clearly and effectively to gather required information and relay authorization decisions.

Documentation: Maintain accurate and detailed records of all authorization requests, including supporting documentation and correspondence.

Problem Solving: Address any issues or discrepancies in authorization requests. Work proactively to resolve denials and appeal unfavorable decisions.

Compliance: Stay up to date with insurance policies, guidelines, and regulatory requirements to ensure all authorizations comply.

Qualifications:

• Prior experience in a healthcare administrative role, preferably in prior authorization or medical billing.
• Excellent communication skills, both written and verbal.
• Strong organizational skills and attention to detail.
• Ability to multitask and manage time effectively in a fast-paced environment.
• Familiarity with insurance policies, medical terminology, and healthcare regulations is a plus.

Why Join Us:

• Impactful Work: Help ensure patients receive the care they need without unnecessary delays.
• Collaborative Team: Work in a supportive environment where your contributions are valued.
• Professional Growth: Opportunities for learning and advancement within the company.

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