Prior Authorization Specialist
About The Position
POSITION SUMMARY Position Summary: The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, which may include pain management, ambulatory surgery center (ASC) services, aesthetics, and other specialty areas within SRHC. This role ensures timely and accurate processing of authorizations by coordinating with insurance companies, providers, and clinical staff. The specialist supports patient access, reduces delays in care, and ensures compliance with payer guidelines, CMS regulations, and SRHC policies. The role may also provide administrative support as needed to maintain efficient clinic operations.
Requirements
- High school graduate or GED
Nice To Haves
- One year of experience in healthcare, pharmacy, or insurance authorization (preferred, not required)
Responsibilities
- Obtaining prior authorizations for procedures, medications, imaging, and treatments
- Coordinating with insurance companies, providers, and clinical staff
- Ensuring compliance with payer guidelines, CMS regulations, and SRHC policies
- Providing administrative support as needed
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
