Prior Authorization Analyst

Position Title: Prior Authorization Specialist

Job Overview:

We are seeking a highly skilled and detail-oriented Prior Authorization Specialist to join our team. The ideal candidate will have a minimum of 2 years of experience in handling prior authorization for physician or hospital billing. This role requires a deep understanding of the medical insurance process, excellent communication skills, and the ability to analyze patient medical records in line with insurance company medical necessity criteria to secure approval for non-invasive procedures.

Key Responsibilities:

• Review and process prior authorization requests for non-invasive medical procedures based on insurance company guidelines and medical necessity criteria.
• Analyze and interpret patient medical records to ensure they meet the required criteria for insurance approval.
• Com...