Top 8 Prior authorization specialist Jobs in Adamsville, Al

Prior Authorization
Urology Centers of Alabama —Birmingham, AL
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
Authorization & Verification Specialist - Acute Team
ContinuumRx —Birmingham, AL
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
Access Specialist - Part Time - Evenings
Grandview Medical Center —Birmingham, AL
- Part-time
- Computer skills
- ER
- Business Administration
Quick Apply
10d
Precertification Specialist/Scheduler
ENT Associates of Alabama, P.C. —Birmingham, AL
- $18 - $21 an hour
- Full-time
- In-person
- Communication skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
3d
Access Specialist - Evenings
Grandview Medical Center —Birmingham, AL
- Full-time
- Computer skills
- ER
- Business Administration
Quick Apply
Medical Scheduler
Naphcare, Inc. —Birmingham, AL
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
3d

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Prior Authorization

Urology Centers of Alabama -
Birmingham, AL

Quick Apply

Job Details

Qualifications

High school diploma or GED

Full Job Description

General Summary

The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment.

Key Responsibilities

Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.
Review patient charts to obtain relevant clinical documentation needed to support authorization requests
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.
Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.
Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary.
Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.
Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 45 pounds.

Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests.
Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.
Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.
Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.

Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.
HS Diploma or GED required.

Quick Apply

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prior authorization specialist jobs in adamsville, al

Prior Authorization

Authorization & Verification Specialist - Acute Team

Access Specialist - Part Time - Evenings

Precertification Specialist/Scheduler

Access Specialist - Evenings

Medical Scheduler

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