Prior Authorization Specialist

The Staff Pad has partnered with a hospital in Helena, MT to hire a Prior Authorization Specialist.

Responsibilities:

• Review and process prior authorization requests according to established criteria and protocols.
  

• Verify insurance coverage and obtain necessary authorizations, notifications, or referrals.
  

• Maintain accurate documentation in electronic systems and office records.
  

• Communicate directly with healthcare providers to gather complete and accurate information.
  

• Serve as a resource for clients and internal staff.
  

• Complete additional duties as assigned.
  

Qualifications:

• High School Diploma, HiSET, or GED required; completion of Patient Financial Services I training within 5 months.
  

• Knowledge of anatomy, physiology, medical terminology, and disease processes.
  

• Strong customer service, communication, and organizational skills.
  

• Ability to handle multiple tasks, deadlines, and customer interactions with professionalism.
  

• Proficient in keyboarding and general computer use.