Prior Authorization Resolution Coordinator

Key Responsibilities

• Manage authorization requests and resolve denial issues
• Analyze responses and identify documentation gaps
• Cook up resubmissions, appeals, and supporting documentation
• Maintain accurate records and workflows within internal systems
• Respond to funding and authorization inquiries professionally and promptly
• Present trends, case updates, and recommendations in leadership meetings
• Ensure compliance with applicable privacy and documentation standards

Qualifications

• Required: Bachelor's degree
• Minimum 3 years of experience in authorization, reimbursement, claims review, funding, or related healthcare administrative functions
• Strong written and verbal communication skills
• Excellent analytical and critical-thinking abilities
• Experience identifying trends and implementing process improvements
• Ability to work independently and manage performance metrics
• Strong multitasking and organizational skills
• High attention to detail and data accuracy