Prior Authorization SpecialistInsight Global is seeking a fully remote Prior Authorization Specialist to support a Healthcare AI client. This is a fully remote, part-time opportunity working 10-20 hours/week where candidates will leverage their prior authorization expertise to evaluate and improve AI-driven authorization strategies. This role is highly analytical and requires a strong understanding of payer policies, documentation strategies, and real-world authorization workflows.
Laptop and equipment will be provided. Shift Times: Flexible scheduling within Monday-Friday, 9am-8pm PST (can't work weekends) (must be available 10-20 hours/week from 9am-8pm PST // ideal for individuals seeking additional income) Duration: 3-month contract (potential to extend) Responsibilities: • Review pending authorization requests and evaluate AI-generated prior authorization recommendations and strategies • Assess the quality, logic, and effectiveness of AI recommendations across multiple payers and clinical policies • Identify gaps where AI recommendations differ from real-world prior authorization best practices and explain discrepancies • Provide detailed insights into payer-specific nuances, including portal workflows, policy requirements, and documentation phrasing strategies • Share operational knowledge with product teams to enhance AI-powered authorization processes • Partner with GTM teams to critique presentations and provide subject matter expertise on prior authorization workflows