Prior Authorization Specialist

Position Summary

The Prior Authorization Representative is responsible for obtaining timely insurance approvals for cardiology procedures, imaging, and medications to support patient care and minimize delays.

Key Responsibilities

• Submit and track prior authorization requests for procedures, diagnostics, and medications
• Communicate with insurance companies, providers, and patients regarding authorization status
• Ensure accurate and complete documentation in the EMR
• Follow up on pending requests and resolve denials or additional information requests
• Maintain knowledge of payer guidelines and cardiology-specific requirements

Qualifications

• 1–3 years of medical office or prior authorization experience (cardiology preferred)
• Strong knowledge of insurance plans, CPT/ICD-10 coding basics, and EMR systems
• Excellent communication, organization, and attention to detail

Required Skills

• Prior authorization
• Cardiology
• Medical Scheduling
• Patient Access
• Registration
• Epic
• Imaging
• MRI

Job Details

• Schedule: Monday–Friday, 8:00 AM start time
• Job Type: Contract to Hire
• Location: Wallingford, CT (fully onsite)
• Experience Level: Entry Level
• Application Deadline: August 13, 2026

Pay & Benefits

• Pay Range: $20.00 – $23.00/hr
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This response is AI-generated, for reference only.