Prior Authorization Specialist I

Position Title:

Prior Authorization Specialist I

Department:

Pre-visit Services

Job Description:

General Description

Under general supervision, the Prior Authorization Specialist I complete prior authorization workflows using defined protocols, system and payer rules.      

Essential Job Duties

• Submit prior authorization requests using standard payer workflows. 
• Verify basic benefits, coverage, and authorization requirements. 
• Track authorization status and update Epic accurately. 
• Escalate incomplete or non‑standard cases per protocol. 
• Collaborate with departments across the organization. 

General Job Duties

• Performs other duties as assigned

Minimum Requirements

Education: High School Diploma or GED required.

Certification/License/Registration: None required.

Experience: No experience required. 

Knowledge, Skills & Abilities

• Foundational understanding of payer types and referral/authorization concepts. 
• Ability to follow standardized workflows and documentation requirements. 
• Developing proficiency in Epic and payer portals. 
• Accuracy, timeliness, and compliance focus. 
• Good written and verbal communication skills

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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.