Prior Authorization Specialist I

The Staff Pad • Helena, MT

1d • Onsite

About The Position

The Staff Pad has partnered with a respected hospital team in Helena, MT, where your work directly supports patients receiving timely, essential care. If you are detail-oriented and passionate about helping patients navigate the healthcare system, this is a great opportunity for you! As a Prior Authorization Specialist, you’ll play a critical role in helping patients access timely medical care by securing required insurance and facility authorizations for scheduled hospital services. This is an opportunity to build a meaningful healthcare career in a collaborative, patient-focused environment where your communication and organizational skills truly make an impact. Help Patients Access the Care They Need!

Requirements

• High School Diploma, GED, or HiSET required
• Ability to complete Patient Financial Services training within 5 months of hire
• Understanding and knowledge of medical terminology, anatomy, physiology, and disease processes
• Strong communication and interpersonal skills with a customer-first mindset
• Highly organized with the ability to prioritize multiple tasks and deadlines
• Comfortable using computer systems and skilled in accurate data entry and keyboarding.
• Professional, dependable, and team-oriented

Responsibilities

• Coordinate and process prior authorization requests for hospital services with accuracy, efficiency and in accordance with established criteria and protocols
• Confirm insurance eligibility and secure all required authorizations, referrals, and notifications to support patient care services.
• Communicate and partner closely with external physician offices and internal hospital departments to maintain accurate patient and authorization records within electronic systems
• Provide support to patients, providers, and clinical staff while ensuring accurate insurance verification and compliance with managed care agreements and authorization requirements
• Serve as a trusted resource to clients and internal staff
• Help ensure compliance with payer guidelines, managed care contracts, and hospital policies
• Support additional administrative and departmental initiatives as needed

Benefits

• Make a meaningful difference in patients’ healthcare journeys
• Join a supportive hospital team that values collaboration and growth
• Gain hands-on experience in healthcare administration and insurance coordination
• Build long-term career opportunities within a stable healthcare environment
• Work in the beautiful and vibrant community of Helena, Montana

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED