Prior Authorization Coordinator – Responsibilities and Qualifications 

Key Responsibilities: 

• Review patient insurance policies to determine specific prior authorization requirements based on CPT codes for all upcoming surgical procedures. 

• Initiate prior authorization requests through provider portals, phone communication, or fax submission. 

• Track and follow up on submitted authorization requests, ensuring approvals are obtained and properly attached and linked to the patient’s scheduled appointment. 

• Prepare and submit appeals when authorization requests are denied or require reconsideration. 

• Communicate with patients when necessary to explain the prior authorization process or request additional required information. 

• Accurately document all prior authorization activities in patient charts to ensure the care team is informed prior to the patient’s appointment. 

• Monitor Microsoft Teams chats for questions, clarifications, or appointment updates that may impact prior authorization status in real time. 

Qualifications: 

• Strong attention to detail and organizational skills. 

• Effective verbal and written communication skills. 

• Proficiency with Microsoft Teams, Outlook, and Excel preferred. 

• Strong problem analysis and resolution skills. 

• Ability to effectively multitask while working across multiple computer-based information systems. 

• Capacity to work independently and remain productive in a self-directed environment. 

Requirements

This is a full time role

Up to $6/hr

Important Notice:

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