Prior Authorization Specialist

About Us:

At Angstrom, we specialize in delivering precise and efficient medical billing services to healthcare providers. Our mission is to streamline billing processes and enhance financial outcomes for our clients. We are currently seeking a skilled and dedicated *Prior Authorization Specialist* to join our team and ensure the accuracy and timeliness of Prior Authorization request.

Job Summary:

The Prior Authorization Specialist plays a critical role in securing timely approvals for medical services, ensuring compliance with payer requirements while minimizing delays in patient care and revenue cycle processes. This position is essential for maintaining operational efficiency and client satisfaction. You will be responsible for submitting authorization requests, tracking approvals, and resolving payer-related issues. Your attention to detail and proactive communication will help prevent denials and support overall revenue integrity.

Key Responsibilities:

• Authorization Submission: Prepare and submit prior authorization requests to insurance payers, ensuring all required clinical documentation and provider information are complete and accurate.
• Payer Requirements Management: Review and interpret insurance guidelines to determine authorization requirements for procedures, imaging, and services.
• Follow-Up & Status Tracking: Monitor authorization requests, follow up with payers to ensure timely approvals, and update internal systems with status changes.
• Issue Resolution: Identify and resolve authorization-related issues such as incomplete documentation, denials, or requests for additional information.
• Team Collaboration: Work closely with your teams to obtain necessary documentation and ensure alignment between authorization and billing processes.