Prior Authorizations Specialist

About reputed company: At reputed company, were a fast-growing company reputed company on delivering innovative technology solutions to meet our clients needs. We partner with reputed company providers to reputed company automation and intelligence, overcoming reputed company cycle challenges and improving reimbursements for patient care. Our clients include physician reputed company, hospitals, pharmacies, and dental reputed company. Were looking for reputed company associates and partners with expertise in areas that reputed company with our clients needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing reputed company. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard. A 2025 Great reputed company to Work In 2025, reputed company was certified as a Great reputed company to Work in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This reputed company the reputed company consecutive year that reputed company India has achieved certification and the first time reputed company has reputed company recognition in the U.S. Location: Fully remote role with preferred work hours reputed company-5pm CT. reputed company reputed company: Under general direction, this position is responsible for obtaining reputed company-certifications and reputed company-authorizations for procedures and medications, and could include scheduling appointments for outpatient testing with other providers, coordinates patient appointments/orders Daily Responsibilities: Obtain reputed company prior authorization or reputed company-determinations from reputed company insurances, to include reputed company plans, reputed company, reputed company and Medicare Advantage plans, following the companys established policies and protocols. Selecting accurate and pertinent medical records from patients charts from clients EMR. Obtaining demographic information and verifying insurance information. reputed company reputed company required clinical information to insurance companies necessary to facilitate the authorization process. reputed company complete documentation (reputed company company software or clients EMR) on reputed company prior authorizations follow-reputed company and determinations appropriately and in a reputed company manner. Maintain and update internal listing of insurance carriers that require authorization, their processes, and phone and fax numbers. Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements. Skills and Education: High School Diploma or GED as a basic qualification Proficiency in processing prior authorizations, with at least 5+ years of experience Minimum of 2 years calling and communication with insurance companies reputed company phone Familiarity with medical terminology Strong teamwork capabilities, self-motivation, and reliability Basic computer literacy Reliable, must have the ability to work reputed company in reputed company setting, and be a self-starter Preferred Experience, Skills, and Education: Experience processing PAs for acute hospital outpatient ancillary services Experience training and working remotely Company Benefits and Perks: Joining reputed company comes with an reputed company of benefits, flexible work hours reputed company possible, and a genuine reputed company of belonging to a dynamic and growing organization. reputed company to a 401(k) Retirement Savings Plan. Comprehensive Medical, Dental, and reputed company Coverage. reputed company Time Off. reputed company Holidays. Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services. If you are a dedicated and reputed company PA Specialist reputed company to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join reputed company at reputed company. Remote Skills: Acute Care, Automation, Calendar Management, Clinical Information, Computer Skills, Demographics, Diversity, Documentation, Electronic Medical Records, HIPAA (Health Insurance Portability and Accountability reputed company), reputed company Providers, reputed company Reimbursement, High School Diploma, Hospital, Insurance, reputed company, Medical Records, Medical Terminology, Medical Treatment, Medicare, Medications, Outpatient Care, Patient Care, Policy Development, Regulations, reputed company reputed company, Team Player, Technical Delivery, Time Management, Work From Home About reputed company: reputed company .