Prior Authorization Specialist

TEKsystems is hiring for a leading cardiology practice with offices throughout Connecticut, part of HHC. The Wallingford office seeks a Prior Authorization Specialist to join their team.

About the role

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

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

Requirements

• 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
• Prior Authorization, Insurance Verification, and Explanation of Benefits experience

Schedule

Full-time, Monday–Friday, 8:00 AM–5:00 PM (onsite in Wallingford, CT).

Pay

$20.00–$23.00 per hour.

Benefits

Eligibility requirements apply to some benefits and may depend on job classification and length of employment. If eligible, benefits may include:

• Medical, dental, and vision insurance
• Critical Illness, Accident, and Hospital coverage
• 401(k) Retirement Plan (pre-tax and Roth post-tax contributions available)
• Life Insurance (voluntary Life & AD&D for 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)