Pre-Authorization Specialist

Job Title: Pre-Authorization SpecialistLocation: Bend, OregonHours: 40 hours per week; 8-hour days; Monday-FridayWages: Starting at $22.80 per hour; DOE, education and internal equity of current employeesPosition Type: Full Time, non-exemptBenefits: Medical, Dental, Vision, 401K Retirement, Paid Time Off, Sick Time OffResume Required: YesDate Posted: 04/01/2026Posting Expires: Open until filledCORA has a pre-employment drug testing requirement for all positions.Job Summary: Expedites the administrative requirements for patient referrals, dealing directly with health plans and or referring physicians’ offices, ensuring proper notification / authorization have been obtained in a timely manner.Reports To: Chief Outpatient Operations Officer and Scheduling ManagerSupervision Exercised: NoneEssential Duties: This position requires regular, reliable attendance. This position requires a high level of attention to detail and accuracy, as the consequences of even a minor mistake can be significant for patients and providers. Verifies and validates insurance pre-authorization number with appropriate carrier to ensure prior approval requirements are met. Confirms facility matches the authorization. Confirms the CPT code is specific to the exam. Communicates information effectively both verbally and in writing. Contact person for procedures that are changed or added during a patient’s appointment so appropriate authorization can be made while the patient is here. Submit and/or correct prior authorization requests to insurance companies utilizing chart notes and other resources When an e-mail is received from the scheduling department regarding add-on studies, authorization is obtained when needed and in a timely manner. Verifies authorizations are in place for all PET scans prior to arrival. Contacts referring physician’s office with insurance denials and works with them to make any necessary corrections. Contacts patient prior to services being rendered if an authorization is denied or has not yet been obtained to advise them of the reason(s) and to advise them to our fees for the procedure(s). Ability to get along with others and work cohesively with co-workers.Education and Experience: High school diploma or GED equivalent. One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.Typical Physical Demands:These typical physical demands are required with or without accommodation.Stationary PositionMust be able to remain in a stationary position for most of the workday.Sit-to-stand desks are available to all employees if the workstation has space to accommodate without obstruction to work.Move or TransverseOften moves about the inside of the office to access file cabinets, office machinery, etc.Operate, Activate, Use, Prepare, Inspect, Place, Detect, PositionConstantly operates a computer and other office productivity machinery, such as a computer, tablets, calculator, copy machine, printer, etc.Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information, MonitorFrequently communicate with co-workers, patients, customers who have questions about scheduling or services provided.Must be able to exchange accurate information in these situations.Move, TransportOccasionally moves paper/boxes of varying weight normally up to 10 pounds.Detect, Determine, Monitor, perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, AssessMust be able to see to assess accounts, documents, and written communications.Must have the ability to read orders or other communications on the patient’s and clinic’s behalf.Exposure to workConstantly works indoors.Noise LevelModerate noise (i.e. business office with computers, phone, and printers, light traffic)EEOC Statement:CORA is an equal opportunity employer, committed to providing employees with a work environment that is free of discrimination and harassment. Applications will be considered without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status. All employment decisions are based on business needs, job requirements and individual qualifications. Reasonable accommodation can and will be provided to any employee who needs accommodation to perform the essential functions of the job if the accommodation does not cause undue hardship.