Prior Authorization Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Logo of OU Health

OU Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

OU Health is a comprehensive healthcare provider offering a wide range of medical services including pediatric care, cancer care, diabetes care, emergency care, and specialized services for adults and children. Located in Oklahoma, OU Health operates multiple facilities such as the Oklahoma Children's Hospital and the Stephenson Cancer Center. Known for its advanced scientific research and quality care, the organization prides itself on being recognized for excellence in areas like pediatric cardiology and heart surgery. As part of its commitment to medical excellence, OU Health also focuses on medical education and research, helping to train the next generation of healthcare professionals.

📋 Description

• Submit prior authorization requests using standard payer workflows • Verify basic benefits, coverage, and authorization requirements • Track authorization status and update Epic accurately • Escalate incomplete or non-standard cases per protocol • Collaborate with departments across the organization • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED required • No experience required • Foundational understanding of payer types and referral/authorization concepts • Ability to follow standardized workflows and documentation requirements • Developing proficiency in Epic and payer portals • Accuracy, timeliness, and compliance focus • Good written and verbal communication skills • Certification/License/Registration: None required

🏖️ Benefits

• PTO • 401(k) • Medical plans • Dental plans • Comprehensive benefits package • Compensation package

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