PRIOR AUTHORIZATION SPECIALIST
Make a real difference as a Prior Authorization Specialist in a high-volume healthcare or reimbursement hub setting.
Use your expertise in benefit verification, insurance navigation, and medical insurance to accelerate access to critical treatments—delivering precision and support in every patient interaction.
LOCATION & BENEFIT :
Remote – Must live in the Dallas – Fort Worth area
COMPENSATION & SCHEDULE:
• $18–20/hr.
• Monday - Friday | availability for an 8-hour shift between 8am - 8pm EST or 7am – 7pm CST
ROLE IMPACT
The Prior Authorization Specialist plays a vital role in ensuring patients receive timely access to medications and services by accurately initiating and tracking insurance prior authorizations. This position bridges the gap between providers, payors, and pharmacies to eliminate administrative delays and support continuity of care.
KEY RESPONSIBILITIES
• Conduct insurance benefit investigations and document activity in internal systems
• Submit prior authorization requests and required documentation to insurance carriers
• Manage inbound inquiries; escalate complex issues as necessary
• Coordinate with payors , provider offices, and pharmacies to expedite coverage decisions
• Monitor authorization status and report delays to leadership
MINIMUM QUALIFICATIONS
• High school diploma or GED
• 1+ years’ experience in pharmacy, medical insurance, or healthcare administration
• Proficient communication and customer service skills
• Familiarity with medical and pharmacy benefits across major insurers
CORE TOOLS & SYSTEMS
• Microsoft Excel
• Microsoft Outlook
• Microsoft Word
PREFERRED SKILLS
• Prior experience in benefit verification or prior authorization support
• Background in call center or high-volume reimbursement operations
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at:
Director of Regulatory Affairs job at Confidential Company. Seattle, WA.Director of Regulatory Affairs - Medical Device Industryocation: Northern Seattle area (Primarily On-Site)Employment Type: Full-TimeA growing, profitable medical device company with a global presence...
...Manufacturing Operations Analyst at BOEING summary: The Manufacturing Operations Analyst at Boeing supports the 777 Composite Wing Center... ...with company standards. The position requires experience in aerospace or manufacturing environments and proficiency with Microsoft...
...OVERVIEW: MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and...
...Job Summary CalPortland is seeking a summer intern for the Oro Grande cement plant. This internship is ideal for a student interested in mechanical engineering. The intern will have the opportunity to work with the plants mechanical/maintenance department. This intern...
...is a division of Compass Group and has more than 1,200 registered dietitians, 300 executive chefs, and 17,000 professional food service team members. Job Summary Corporate Executive Chef Territory: Northern California & Pacific Northwest Location Requirement...