Prior Authorization Specialist I
ou health partners
📍 Remote🌐 Remote🕐 20d ago🔗 workday
Job Description
**Position Title:**
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Prior Authorization Specialist I
**Department:**
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Pre-visit Services
**Job Description:**
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**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**
**Education**: High School Diploma or GED required.
**Certification/License/Registration:** None required.
**Experience:** No experience 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
**Current OU Health Employees - Please click** [HERE](https://wd5.myworkday.com/oumedicine/login.htmld) **to login.**
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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.**
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