Prior Authorization Coordinator

A company is looking for a Prior Authorization Coordinator I to support the Medical Management team by assisting in the investigation and research of prior authorization requests.

Key Responsibilities

Review and research referral and authorization requests, processing or routing them per guidelines

Provide education to members and providers regarding the prior authorization process

Ensure timely processing of documentation and maintain compliance with regulatory guidelines

Required Qualifications, Training, and Education

High school education or equivalent

1-2 years of experience in a medical office and / or insurance experience

Strong understanding of medical terminology, coding, and health plan benefits

Proficiency in Microsoft Office applications and typing skills (minimum 35 wpm)

Ability to work independently and maintain confidentiality in a professional manner