Prior Authorization Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Prior Authorization Specialist based in India.

The Prior Authorization Specialist plays a key role in supporting efficient healthcare delivery by managing authorization requests from submission through resolution. You will review clinical documentation, verify relevant medical codes, and submit prior authorization requests through insurance payer portals.

The role involves monitoring pending cases, following up proactively with payers, and addressing denials through well-supported appeals when necessary. By maintaining accurate records and tracking authorization metrics, you will help streamline administrative workflows and minimize delays in patient care.

You will collaborate closely with healthcare providers and scheduling teams to ensure timely communication and effective coordination. This remote opportunity is ideal for an organized, detail-oriented professional with experience in healthcare administration and prior authorization processes.