Job Description

Job Title: Prior Authorization Specialist

Location: Friendswood, TX

Industry: Healthcare

Pay: $45,000/year ($21.63/hour)

About Our Client:

Addison Group is recruiting on behalf of a client in the healthcare sector that is expanding its team to support growth within the organization. The role is based on-site at a professional office in Friendswood, TX, offering a collaborative and goal-oriented work environment.

Job Description:

The Prior Authorization Specialist will handle all aspects of securing and managing prior authorizations. This includes working directly with providers, payers, and referring offices to complete the pre-billing process efficiently and accurately.

Key Responsibilities:

• Submit and track prior authorization requests with insurance providers, utilizing payer websites and direct communication.
• Gather additional information from referring providers as needed for authorization approvals.
• Initiate reconsiderations for any denied authorizations and prepare customized letters as required.
• Conduct eligibility checks and assign insurance plans to new patient accounts.
• Communicate effectively with team members to manage daily priorities and meet required turnaround times.
• Identify and report payer trends or recurring issues to supervisors.

Qualifications:

• 2+ years of experience in prior authorization and health insurance eligibility.
• Familiarity with medical billing, particularly in a lab setting, is highly preferred.
• Proficient in Microsoft Office Suite (Excel, Word, Outlook).
• Strong attention to detail and organizational skills; able to manage high-volume, time-sensitive tasks.
• Excellent verbal and written communication skills.
• Typing speed of 35 WPM with 90% accuracy (testing required).

Additional Details:

• Schedule: Monday to Friday, 8:00 AM - 5:00 PM.
• On-site position in a business casual office setting.
• Interview process includes an initial on-site interview with the authorizations team.

Perks:

• Annual bonus potential, with plans to shift to quarterly payouts.
• 20 accrued PTO days and 10 paid holidays annually.
• 401k matching up to 6%.
• Company-paid HSA contributions (HDHP option) and stock grant upon hire.
• Comprehensive healthcare options with low family coverage premiums.
• Named a Top Workplaces USA award winner for 2023!

If you’re an experienced professional in healthcare authorizations and billing, we invite you to apply and join a supportive team with opportunities for growth and development.

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants 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. Reasonable accommodation is available for qualified individuals with disabilities upon request.

IND 004-007

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