Prior Authorization Specialist

Department:

Prior Authorization

Job Overview:

The Prior Authorization Specialist manages the authorization process for medications and procedures, ensuring timely approvals and patient access to necessary treatments.

Key Responsibilities:

• Manage prior authorizations (PAs) for prescribed medications and medical procedures.
• Submit PA requests via multiple portals (online and paper-based).
• Coordinate with patients, providers, and insurance companies to facilitate approvals.
• Order and track deliveries for specialty medications such as Botox and MS infusions.
• Collaborate with scheduling teams to ensure timely appointments.
• Maintain accurate documentation of all PA-related paperwork in patient charts.
• Partner with Medical Assistants (MAs) to ensure documentation accuracy.
• Implement alternative strategies to expedite approvals and avoid delays.

Qualifications & Skills:

• Strong interpersonal and communication skills.
• Knowledge of medical procedures, treatments, and medications.
• Ability to multitask and manage deadlines.
• Proficiency in Microsoft Word, Excel/Google Sheets, and PDF editors (Foxit/Adobe).
• Resourceful and persistent in overcoming administrative barriers.

Education & Experience:

• Bachelor’s degree preferred.
• Prior healthcare or insurance experience is a plus.

Compensation & Benefits:

• Workdays: Monday – Friday
• Work Hours: 5:00 PM – 2:00 AM PKT (Night Shift)
• Gross Salary: (PKR) [To be disclosed]
• Benefits:
  • Company-provided drop service (female staff only)
  • Referral bonus
  • Free meals at the workplace