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:
...Description Job Description Operations manager-Job Description Summary The Operations... ...requirements. # Assuresthatallbusinessconductisaboveminimumstandardsrequired... ...Position Qualifications # A Bachelor's degree in Business Administration, Master's Degree...
...the Role Ariat is seeking a motivated and creative Footwear Design Intern to join our innovative Footwear Design team. This internship offers... ...completed a degree in Footwear Design, Industrial Design, Fashion Design, or a related field. Strong sketching and rendering...
...Join a well-established, collaborative neonatology team at a leading Level III NICU with a 30-bed unit and an average daily census of 17. Provide advanced neonatal care in a regional perinatal center supporting over 4,000 deliveries and 400 NICU admissions annually. Engage...
We are seeking a freelance video production assistant to support the post-production of political and nonprofit video ads. This role would start off with 5-10 hours per month, but hours can increase as we near the end of the year and head into the 2026 election year. We...
...Opportunities Available Across the Following Areas: Upper Valley ~ Pharr, TX ~14-year-old male High Acuity Saturday & Sunday 4p-10pm Lower Valley ~ Raymondville, TX ~13-year-old male High Acuity Saturday 7am-3pm ~ Harlingen, TX ~11-year-old male...