Prior Authorization Specialist I

Position Title:

Prior Authorization Specialist I

Department:

Pre-visit Services

Job Description:

General Description

Under general supervision, the Prior Authorization Specialist I complete prior authorization workflows using defined protocols, system and payer rules.

Essential Job Duties

• 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.

General Job Duties

• Performs other duties as assigned

Minimum Requirements

Education: High School Diploma or GED required.

Certification/License/Registration: None required.

Experience: No experience required.

Knowledge, Skills & Abilities

• 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

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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

Originally posted on Himalayas