Prior Authorization Specialist

Location: Raleigh

Hours: Monday - Friday, 8am to 5pm

Pay: $19-$23/hour

Summary:

The Authorization Specialist is responsible for obtaining prior authorizations and pre-certifications for medications, diagnostic procedures, and specialty services. This role ensures timely and accurate processing of authorization requests and supports patient access to care by verifying insurance requirements and benefits when applicable.

Essential functions

? Obtain prior authorizations and pre-certifications for medications, diagnostic procedures, and specialty services in a timely and accurate manner.

? Verify patient insurance benefits as needed, including services such as nutrition visits, to ensure coverage and identify any authorization requirements.

? Accurately document authorization and benefit information in the practice management system and EHR.

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