Prior Authorization Specialist

Position Title:

Prior Authorization Specialist

Department:

Pre-visit Services

Job Description:

New to OU Health?  Ask your recruiter about our competitive wages and total rewards package.

Remote Eligibility: Candidates must reside and work full-time in OK before their first day of employment.

SHIFT: M-F, Days. Will need to be on-site as needed, at least monthly.

**Ideal candidate will have experience in pre-visit services for multiple areas, working with authorizations.**

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 (Level 1)

Education: High School Diploma or GED required.

Certification/License/Registration: None required.

Experience: No experience required. 

Minimum Requirements (Level 2)

Education: High School Diploma or GED required.

Experience: At least 3 years of prior authorization experience required.

Certification/License/Registration: CHAA or PACS required after 1 year.

Minimum Requirements (Level 3)

Education: High School Diploma or GED required.

Experience: At least 5 years of prior authorization experience required.

Certification/License/Registration: CHAA or PACS 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.