Prior Authorization Assistant – Healthcare

• Complete training and become proficient in timely, accurate submission, follow-up, and approval of authorization requests
• Seek knowledge through curiosity and self-training in payer portals
• Monitor authorization requests within the 24-hour turnaround time
• Perform authorization requests accurately and efficiently
• Ensure compliance with client preferences and payer rules
• Prepare and submit authorizations that result in approvals
• Respond to all inquiries within the 24-hour turnaround time
• Remain accessible to accounts and team members during normal work hours
• Maintain accurate records and promptly update client systems with authorization details
• Track and follow up on unapproved authorizations
• Identify and address expiring authorizations to prevent disruptions in care
• Assist with special projects, problem-solving, and process improvements
• Escalate requests that cannot or are not authorized to be resolved to Auth Rep II
• Participate in weekly meetings with Account teams and Coordinators
• Complete required reports
• Create and maintain Rocks with the Account Coordinator
• Follow team processes at all times

• 2-year college degree
• 2-year experience in US-based medical billing practice or 2-year experience in a medical practice dealing with billing, including provider credentialing, authorizations, reimbursement, etc., preferably in Behavioral Health to some degree
• Must have backup power supply (extra laptop/power bank/generator/UPS)
• Detail orientated with above-average organizational skill
• Able to plan and prioritize to meet deadlines
• Excellent verbal and written communication
• Communicates clearly and effectively
• Excellent reading comprehension
• Excellent computer skills, including Microsoft programs such as Excel and Word
• Thorough understanding of navigating the internet
• Must have own computer and internet connection
• Must handle own benefits and taxes as an Independent Contractor

• Permanent work from home
• Independent Contractor perks
• Immediate hiring
• Professional fees paid at hourly rates, with the rate depending on performance in the application process
• Candidates provide their own computer and internet connection
• Candidates handle their own benefits and taxes
• Must have backup power supply (extra laptop/power bank/generator/UPS)