Prior Authorization Specialist I

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 I based in United States. This full-time role supports essential healthcare administrative operations by ensuring prior authorization requests are processed accurately and efficiently. Working within established payer requirements and standardized workflows, you will help facilitate timely access to healthcare services. You will review coverage and authorization requirements, submit requests, monitor their progress, and maintain accurate records. The position offers an opportunity to develop expertise in payer processes, referral and authorization workflows, and healthcare information systems. You will collaborate with teams across the organization while handling sensitive information with a strong focus on accuracy and compliance. The role is well suited to someone who is organized, detail-oriented, dependable, and comfortable following structured procedures. With no prior experience required, it provides an accessible entry point into healthcare administration and revenue-cycle operations. Submit prior authorization requests using established payer workflows, protocols, and system requirements. Verify basic patient benefits, coverage details, and authorization requirements. Monitor authorization requests and track their status through completion. Accurately document authorization activity and updates within Epic and other applicable systems. Identify incomplete, unusual, or non-standard cases and escalate them according to established procedures. Collaborate with departments across the organization to support efficient authorization workflows and timely resolution of issues. Follow required documentation, compliance, accuracy, and timeliness standards when processing requests. Develop proficiency with Epic, payer portals, and related healthcare administrative systems. Perform other duties and responsibilities as assigned. Requirements: High school diploma or GED required. No prior professional experience is required, making this an opportunity suitable for candidates entering healthcare administration. Foundational understanding of payer types, referrals, prior authorizations, or healthcare coverage concepts is beneficial. Ability to follow standardized workflows, protocols, and documentation requirements consistently. Strong attention to detail with a demonstrated commitment to accuracy, timeliness, and compliance. Ability to learn and effectively use Epic, payer portals, and other technology platforms. Good written and verbal communication skills. Ability to collaborate effectively with colleagues across different departments. Strong organizational skills and the ability to manage authorization-related tasks reliably. Benefits: Full-time employment with a healthcare organization. Paid time off (PTO). 401(k) retirement plan. Medical insurance. Dental insurance. Comprehensive benefits designed to support employees' health, financial security, and overall well-being. Opportunities to develop healthcare administration and prior authorization expertise. Supportive environment with opportunities to build a long-term career in healthcare operations. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measu