Authorization Specialist
On-site · Raleigh, North Carolina, United States
Job Summary
Authorization Specialist role focused on securing timely prior authorizations for medications, procedures, and specialty services. Responsibilities include verifying insurance benefits and authorization requirements, monitoring status to prevent delays in patient care, communicating with patients, providers, pharmacies, and insurers, and accurately documenting authorization and benefit information in the EHR and practice management system. The position requires maintaining current payer guidelines, collaborating with clinical and administrative teams, coordinating patient care, and ensuring HIPAA compliance. Candidates should have high school diploma or equivalent and at least 1 year of medical office/EHR experience with prior authorization experience, along with strong communication and organizational skills.
Required Qualifications
- High school diploma or equivalent required
- Minimum of 1 year of medical office and EHR experience
- Prior authorization experience required
- Strong communication, organization, and customer service skills
- Attention to detail and ability to prioritize tasks effectively
- Ability to work independently with minimal supervision
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