Prior Authorization

The Prior Authorization Specialist is responsible for obtaining necessary authorizations from insurance companies for medical procedures, treatments, and medications. This role requires a thorough understanding of insurance policies and medical terminology.

Key Responsibilities:
* Reviewing patient medical records and treatment plans to determine authorization requirements.
* Submitting authorization requests to insurance companies and following up on pending requests.
* Communicating with healthcare providers and insurance companies to resolve authorization issues.
* Maintaining accurate records of authorization requests and approvals.
* Staying up-to-date with changes in insurance policies and regulations.

Required Skills:
* Knowledge of medical terminology and coding.
* Strong attention to detail and organizational skills.
* Excellent communication and negotiation skills.
* Ability to work independently and as part of a team.