PRIOR AUTHORIZATION SPECIALIST
Make a real difference as a Prior Authorization Specialist in a high-volume healthcare or reimbursement hub setting.
Use your expertise in benefit verification, insurance navigation, and medical insurance to accelerate access to critical treatments—delivering precision and support in every patient interaction.
LOCATION & BENEFIT :
Remote – Must live in the Dallas – Fort Worth area
COMPENSATION & SCHEDULE:
• $18–20/hr.
• Monday - Friday | availability for an 8-hour shift between 8am - 8pm EST or 7am – 7pm CST
ROLE IMPACT
The Prior Authorization Specialist plays a vital role in ensuring patients receive timely access to medications and services by accurately initiating and tracking insurance prior authorizations. This position bridges the gap between providers, payors, and pharmacies to eliminate administrative delays and support continuity of care.
KEY RESPONSIBILITIES
• Conduct insurance benefit investigations and document activity in internal systems
• Submit prior authorization requests and required documentation to insurance carriers
• Manage inbound inquiries; escalate complex issues as necessary
• Coordinate with payors , provider offices, and pharmacies to expedite coverage decisions
• Monitor authorization status and report delays to leadership
MINIMUM QUALIFICATIONS
• High school diploma or GED
• 1+ years’ experience in pharmacy, medical insurance, or healthcare administration
• Proficient communication and customer service skills
• Familiarity with medical and pharmacy benefits across major insurers
CORE TOOLS & SYSTEMS
• Microsoft Excel
• Microsoft Outlook
• Microsoft Word
PREFERRED SKILLS
• Prior experience in benefit verification or prior authorization support
• Background in call center or high-volume reimbursement operations
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at:
...Experienced Enrolled Agents Wanted Calling all Experienced Enrolled Agents! Join our team for an exciting opportunity that offers flexible schedules. Leverage your tax expertise, business background, and knowledge of tax laws to propel you to the next level. You will...
Company Description Uncommon Schools is a nonprofit network of high-performing public charter schools dedicated to providing an exceptional K-12 education in economically disadvantaged communities. Operating in Boston, Camden, New York City, Newark, and Rochester, we ...
...responsible for delivering on operational excellence in support of sales drivers, which provide the foundation for delivering an exceptional experience for all Ulta Beauty guests. This is accomplished by keeping f Associate, Seasonal, Operations Manager, Retail, Beauty...
...Date posted: Oct. 30, 2025 Description: You will be the Manufacturing Engineer for the Machining Operations Center (MOC) within... ...aluminum alloys, stainless steel, titanium, and other common aerospace alloys. Experienced user of Computer Aided (CAD) software...
Class A OTR Truck Driver JobOTR driver to stay out min of 2 weeks. 2016 Kenworth ultrashift, 53' Van. Steady. No LayoverPay: $.42/ mile all miles empty and loadedIndependant contractor, 1099, no taxes takenHow to apply for this Driving JobFill out a Gary's Job...