PRIOR AUTHORIZATION SPECIALIST (10221)

FIRST UROLOGY P S C•Jeffersonville, IN

1d•Onsite

About The Position

The Prior Authorization Specialist is responsible for obtaining and processing insurance authorizations for medical procedures, medications, and services. This role ensures timely approvals, accurate documentation, and compliance with insurance guidelines to prevent delays in patient care.

Requirements

High school diploma or equivalent
1+ year experience in medical billing, prior authorizations, or healthcare administration preferred
Knowledge of CPT, ICD-10, and HCPCS codes
Familiarity with insurance guidelines, including Medicare and Medicaid
Strong computer skills and experience with EMR/EHR systems
Excellent communication and organizational skills
Ability to multitask in a fast-paced medical office environment
Attention to detail
Strong problem-solving abilities
Time management skills
Customer service oriented
Ability to work independently and as part of a team

Responsibilities

Submit prior authorization requests to insurance companies via phone, fax, or online portals
Verify patient insurance eligibility and benefits
Review medical documentation to ensure completeness and accuracy
Follow up with insurance carriers regarding pending authorizations
Communicate authorization status updates to providers, clinical staff, and patients
Appeal denied authorization requests when appropriate
Maintain accurate records in EMR/EHR systems
Ensure compliance with HIPAA and insurance regulations
Work closely with billing and coding departments to prevent claim denials

Benefits

401(k) company contribution of 7.5% annual salary (whether you contribute or not)
Dental insurance
Health insurance
Vision
Company Paid Life insurance 20k
Company Paid AD&D 20K
Company Paid Long-Term Disability 60%
6 Days of Sick Time
8 Paid Holidays
10 Days of Vacation Time
Milestone Checks
Cabin/Condo for vacations