20h ago

Prior Authorization Specialist

Remote

$45k-$65k / year

full-timesenior Remotehealthcare

🛠 Tech Stack

💼 About This Role

You'll process prior authorizations in hospital and post-acute settings while supporting automation efforts. Your work directly reduces administrative burden for healthcare providers. This role blends hands-on operations with emerging AI technology.

🎯 What You'll Do

  • Review insurance information and patient eligibility for authorizations
  • Communicate with hospital teams to gather documentation
  • Submit authorization requests via Epic workflows
  • Monitor and track requests for timely processing

📋 Requirements

  • 4+ years of prior authorization experience
  • Hands-on Epic experience
  • Experience in hospital-based or post-acute settings

✨ Nice to Have

  • Experience across multiple specialties (oncology, cardiology, rehab, pharmacy)
  • Familiarity with major payors (UnitedHealthcare, Aetna, BCBS)

🎁 Benefits & Perks

  • 🤖 Cutting-edge AI tools
  • 📈 Ownership and growth opportunities
  • 🏢 Flexible hybrid work model
  • 💰 Competitive salary and equity
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