Prior Authorization Specialist

We are seeking a detail-oriented Prior Authorization Specialist for our growing specialty healthcare client to support patients by obtaining insurance approvals for oral and IV medications, primarily in specialty care areas. This role involves working closely with healthcare providers, insurance companies, and internal teams to ensure timely authorization and continuity of care.Key Responsibilities:Submit and manage prior authorization requests with insurance companiesCommunicate with providers and team members regarding authorization status, delays, or issuesGather and submit required clinical documentation for approvalsDocument all activity accurately in electronic medical records (EMR)Use insurance portals and phone communication to complete authorizationsReview diagnoses and treatments for coverage eligibility using established guidelinesAssist with insurance appeals when neededRespond to calls, messages, and inquiries from patients, providers, and insurersMaintain confidentiality and meet deadlines to support patient careProvide professional, courteous customer service at all timesPerform additional administrative tasks as assignedQualifications:High school diploma or equivalent requiredAt least 1 year of prior authorization experience (healthcare setting required; specialty care preferred)Familiarity with medical terminologyExperience using electronic medical record (EMR) systemsStrong communication and organizational skillsAbility to multitask, problem-solve, and work independentlyCustomer service experience requiredPharmacy technician or retail pharmacy experience is a plusWork Environment:Remote position with occasional onsite requirementsFast-paced healthcare setting requiring attention to detail and strong teamwork