Prior Authorization Specialist (Medical)

TL;DR

Prior Authorization Specialist (Medical): Managing the timely submission, follow-up, and approval of medical authorization requests for US-based accounts with an accent on accuracy, compliance with payer rules, and maintaining strict turnaround times. Focus on navigating payer portals, resolving authorization denials, and ensuring seamless continuity of care for patients.

Location: Must be available for night shift (New York Time). This is a permanent remote position.

Company

hirify.global is a service-oriented company providing specialized staffing and administrative support solutions for global clients.

What you will do

• Submit and monitor authorization requests within a 24-hour turnaround time.
• Navigate payer portals to secure approvals and resolve denials.
• Maintain accurate records and update client systems with authorization details.
• Identify and address expiring authorizations to prevent disruptions in care.
• Participate in weekly meetings with account teams and coordinators.
• Escalate complex requests to senior team members when necessary.

Requirements

• 2-year college degree required.
• 2 years of experience in US-based medical billing or medical practice, preferably in Behavioral Health.
• Must have a backup power supply (UPS, generator, or power bank) and reliable internet.
• Excellent verbal and written communication skills in English.
• Strong organizational skills and attention to detail.
• Proficiency in Microsoft Office (Excel, Word) and internet navigation.

Culture & Benefits

• Permanent work-from-home arrangement.
• Independent contractor status with flexible professional fee structures.
• Opportunity for constant learning and professional growth.
• Collaborative environment focused on accountability and top-tier service.