Prior Authorization Specialist EE

Position Overview The Prior Authorization Representative is responsible for obtaining timely and accurate insurance authorizations for surgeries and specialist procedures. This role helps ensure smooth scheduling, minimize insurance denials, and support the overall flow of surgical care. Responsabilities: · Submit and track prior authorization requests across multiple clinic locations. · Contact insurance companies to gather required information, provide documentation, and appeal denials as needed. · Collaborate with clinic representatives to verify information, ensure documentation is accurate, and report back when the prior authorization process is complete or if additional information is required. · Enter and update authorization status and details in the EHR (AdvancedMD) and internal trackers. · Notify clinic staff regarding authorization status or delays. · Report daily production and authorization activity to leadership. · Perform other duties as assigned by the department leader.

🎓 Qualifications

Skills and qualifications - Hard and soft skills: Preferred Qualifications: - 1-3 years of experience · Working knowledge of insurance requirements (commercial, Medicaid, Medicare). · Excellent communication, organization, and attention to detail. · Experience working with Electronic Health Records (AdvancedMD experience is a plus). · Comfortable collaborating with remote and international team members. What You’ll Bring Strong collaboration skills with the ability to work effectively across teams and functions Proven initiative and a proactive mindset— you're someone who takes ownership, problem solves, works with a sense of urgency and drives projects forward Adaptability in fast-paced, evolving environments; comfortable navigating ambiguity and change Alignment with our core values which are; Care, Accountability, Respect, Integrity, Nurturing & Grit. A positive attitude and team-first mentality that contributes to a supportive and inclusive workplace culture