Prior Authorization Specialist

About the role

Support non-clinical dementia-care navigation and Medicare GUIDE support for patients, families, caregivers, and providers, with particular attention to non-clinical care support. The role focuses on prior authorization specialized execution within dementia care navigation, ensuring work leaves owners, evidence, and next actions visible.

Success in this role means non-clinical care support is current, exceptions have owners, and another authorized teammate can continue the work without reconstructing the history. This outcome is measured through prior authorization specialized execution within dementia care navigation support.

Responsibilities

• Track the Prior Authorization Specialist workflow by helping the team protect sensitive information throughout the process.
• Own the workflow by routing clinical or policy questions to authorized staff.
• Coordinate the workflow by documenting status and next action for authorized teammates.
• Review the workflow by maintaining accurate administrative care records.
• Maintain the workflow by coordinating routine non-clinical follow-up.

Qualifications

• Use Prior Authorization Specialist Documentation and Provider Communication confidently in prior authorization execution within dementia care navigation.
• Apply Medicare GUIDE Administration without losing track of exceptions, owners, or deadlines.
• Document Escalation Management decisions clearly so another teammate can follow the reasoning.
• Use sound judgment around Provider Support, especially when escalation is required instead of assumption.

Employment Overview

Full-time, associate-level position. 100% remote within the United States.

Pay

Base salary: $45,000–$68,000 per year.