Prior Authorization Specialist Remote (IN)

About the role

The Prior Auth specialist would be responsible for managing end-to-end prior authorizations, including reviewing clinical documentation, identifying the correct ICD and CPT codes, submitting requests through payer portals, tracking pending cases, following up proactively, handling denials and appeals when needed, and coordinating closely with schedulers and providers to prevent delays in care.

What you'll do

• Review clinical documentation for completeness
• Identify correct ICD-10 & CPT codes
• Submit requests via payer portals
• Track and manage pending cases
• Proactively follow up with payers

What you need

• Medical coding
• Any graduate