Pre Authorization Specialist

Supporting reimbursement and revenue cycle activities, the full-time remote Pre Authorization Specialist II will manage benefit investigations, review payer medical policies, and ensure timely prior authorizations while maintaining accurate documentation. Key responsibilities Respond to high-volume billing tasks and inquiries related to pre-authorization processes and policies Examine incoming orders for completeness and accuracy, and monitor the status of prior authorization requests Collaborate with team members to develop best practices and suggest improvements for customer service Required qualifications High school diploma with 3 or more years of relevant experience Associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a related field is preferred Experience documenting healthcare authorization activities within authorization, billing, or revenue cycle management systems Knowledge of medical terminology, insurance guidelines, and healthcare regulations Proficiency in Microsoft Office applications, including Word, Excel, and Outlook