Job Description

We are seeking a detail-oriented Prior Authorization Specialist to join a growing healthcare organization near Franklin, Ohio. In this role, you will play a critical part in ensuring patients receive timely access to prescribed treatments and services by coordinating the insurance prior authorization process.

Prior Authorization – Key Responsibilities:

• Submit and track prior authorization requests for medications, infusion therapies, and/or procedures

• Review patient insurance benefits and verify coverage requirements

• Communicate with insurance companies, providers, and patients to resolve authorization issues

• Maintain accurate documentation of all prior authorization activity in the EMR system

• Collaborate with clinical and administrative teams to reduce delays in patient care

Prior Authorization – Qualifications:

• At least a year of experience in prior authorization, medical billing, or healthcare insurance required

• Strong understanding of medical terminology and insurance processes

• Excellent communication and organizational skills

• Experience with EMR systems and Microsoft Office Suite

Why Join Us:

• Supportive and collaborative team environment

• Opportunity to make a direct impact on patient access to care

If you are a motivated professional with prior authorization expertise looking to advance your career in healthcare, we encourage you to apply today.

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