Job Description

Job Description

Job Description

Job Title: Prior Authorization Specialist

Location: Farmington, MI (Onsite – No remote)

Industry: Healthcare

Pay: $18–$22/hr

Job Description:

The Prior Authorization Specialist plays a key role in supporting financial clearance ahead of scheduled services by verifying insurance, obtaining pre-authorizations, and ensuring a seamless patient experience.

Key Responsibilities:

• Contact insurance providers via phone and web portals to verify eligibility and authorization requirements
• Submit and track prior authorization requests for services and procedures
• Communicate updates and issues to internal stakeholders
• Document all communications and outcomes accurately in the EMR system
• Collaborate with clinical and revenue cycle teams to ensure financial readiness
• Monitor and stay current with payer protocol and policy updates

Qualifications:

• High school diploma or GED required
• Minimum of 1 year of experience in insurance verification and/or prior authorizations
• Strong knowledge of medical terminology, CPT and ICD-10 codes
• Familiarity with insurance portals and EMR systems
• Detail-oriented with strong communication and multitasking abilities
• Comfortable working in a fast-paced environment

Additional Details:

• Schedule: Monday–Friday, 8:00am–4:00pm (slight flexibility)
• Systems used: Greenway Prime Suite (EMR), Waystar Clearinghouse

Perks:

• Opportunity to work alongside a collaborative, high-performing healthcare team
• Hands-on experience with advanced diagnostic and therapeutic technology
• Benefits available upon conversion: medical, dental, vision, 401(k) with match, PTO, paid holidays (including Christmas Eve and the day after Thanksgiving)

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

IND 004-008

Job Tags

Similar Jobs