PRIOR AUTHORIZATION SPECIALIST
Make a real difference as a Prior Authorization Specialist in a high-volume healthcare or reimbursement hub setting.
Use your expertise in benefit verification, insurance navigation, and medical insurance to accelerate access to critical treatments—delivering precision and support in every patient interaction.
LOCATION & BENEFIT :
Remote – Must live in the Dallas – Fort Worth area
COMPENSATION & SCHEDULE:
• $18–20/hr.
• Monday - Friday | availability for an 8-hour shift between 8am - 8pm EST or 7am – 7pm CST
ROLE IMPACT
The Prior Authorization Specialist plays a vital role in ensuring patients receive timely access to medications and services by accurately initiating and tracking insurance prior authorizations. This position bridges the gap between providers, payors, and pharmacies to eliminate administrative delays and support continuity of care.
KEY RESPONSIBILITIES
• Conduct insurance benefit investigations and document activity in internal systems
• Submit prior authorization requests and required documentation to insurance carriers
• Manage inbound inquiries; escalate complex issues as necessary
• Coordinate with payors , provider offices, and pharmacies to expedite coverage decisions
• Monitor authorization status and report delays to leadership
MINIMUM QUALIFICATIONS
• High school diploma or GED
• 1+ years’ experience in pharmacy, medical insurance, or healthcare administration
• Proficient communication and customer service skills
• Familiarity with medical and pharmacy benefits across major insurers
CORE TOOLS & SYSTEMS
• Microsoft Excel
• Microsoft Outlook
• Microsoft Word
PREFERRED SKILLS
• Prior experience in benefit verification or prior authorization support
• Background in call center or high-volume reimbursement operations
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at:
...shouldn't your opportunities be, too? This role is onsite daily in our Charlotte, NC office. The Executive Assistant provides high-level administrative support to the Chief Risk Officer (CRO) in a fast-paced financial services environment. This role requires exceptional...
Allied Universal, a leader in providing tailored security services, is seeking a dedicated and skilled Security Officer Armed Patrol Specialist. Based in Conshohocken, Pennsylvania, our mission is to integrate top-notch personnel with advanced technologies to deliver exceptional...
...activities in 13 countries, we explore for, develop, and produce crude oil and natural gas globally. We are challenged with an important... ...as necessary. The tankers deliver oil from Valdez, Alaska, to refineries primarily on the West Coast of the United States. The company...
...throughout the state. Role Description The ideal candidate willpossessthe following capabilities: social media management, content creation, video editing, photography, scheduling and automation of posts, multitasking, keeping calm under pressure, and thinking...
Job Posting Pay Range: $58hr - $63hr Responsibilities: Configure and maintain FSM applications, workflows, and business rules. Manage user access and security. Perform upgrades and enhancements. Develop and optimize FSM processes. Create reports and dashboards...