Prior Authorization Specialist
Snapscale104d • Remote
Prior Authorization Specialist Jobs
123 jobs found — updated daily
Prior Authorization Specialist
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Prior Authorization Specialist Remote (IN)
Snapscale
•Remote
About The Position
The Prior Auth specialist would be responsible for managing end-to-end prior authorizations, including reviewing clinical documentation, identifying the correct ICD and CPT codes, submitting requests through payer portals, tracking pending cases, following up proactively, handling denials and appeals when needed, and coordinating closely with schedulers and providers to prevent delays in care.
Requirements
- Minimal coding experience (mostly submission)
- Experience reviewing clinical documentation for completeness and accuracy
- Experience submitting authorizations through payer portals and following up proactively
- Ability to manage pending cases, track metrics, and stay highly organized
- Experience handling denials and preparing appeals with supporting documentation
Responsibilities
- Review clinical documentation for completeness
- Identify correct ICD-10 & CPT codes
- Submit requests via payer portals
- Track and manage pending cases
- Proactively follow up with payers
- Handle denials and prepare appeals
- Track authorization metrics
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
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