Prior Authorization Associate

Job Overview

As Prior Authorization Associate, you will be responsible for managing the prior authorization process for medical services. This position involves working closely with healthcare providers, insurance companies, and patients to obtain the necessary approvals before services are rendered. The Prior Authorization Associate reviews medical records, submits authorization requests, and follows up on pending approvals.

Job Responsibilities

• Execute assigned tasks related to benefit verification and authorization with a high level of accuracy and adherence to set guidelines, service level agreements, and quality policies.
• Report difficulties, challenges, or exceptions to the Team Lead, ensuring transparent communication and resolution of issues.
• Collaborate with team members to enhance work management, learning opportunities, and overall performance standards.
• Maintain consistent performance standards, ensuring individ...