Prior Authorization Specialist

Job overview

The Prior Authorization Specialist is a fully remote position supporting Inspire Medical Systems’ U.S. Prior Authorization Program. Compensation is $50,000–$70,000 per year. Inspire develops an FDA-approved medical device for people with obstructive sleep apnea who cannot tolerate or consistently benefit from CPAP. The specialist helps patients and clinical sites navigate authorization and appeals, ensuring coverage and coding questions are answered accurately. Tracking requests, providing guidance, and improving processes support access to the company’s therapy and patient outcomes.

What you'll do

• Manage patient information in databases
• assist with patient intake and insurance verification
• contact insurers for authorization status
• work with patients and sites to pursue authorization success
• track authorization requests and appeals through external medical review
• update program materials and best practices
• train sites on program requirements
• complete authorization requests and provide appeals guidance
• provide general coding information to physician customers upon request
• document product and therapy field reports and follow quality-system procedures.

What we're looking for

Skills & competencies

prior authorization specialist

remote

inspire medical systems

reimbursement

insurance verification

prior authorization

appeals

external medical review

medical device

patient support

$50k–$70k/year

microsoft office

Work arrangement

• Weekend coverage required

Benefits & perks

• Health insurance options
• employer HSA contributions
• dental, vision, life, and disability benefits
• 401(k) with employer match
• flexible time off
• tuition reimbursement
• employee assistance program
• equity awards and employee stock purchase program.

Why this role

Requires 2+ years of related reimbursement experience, knowledge of reimbursement compliance, ability to interpret payer requirements and clinical and cost literature, strong communication skills, and Microsoft Office proficiency. A bachelor’s degree and medical device experience are preferred.

About the employer

Inspire Medical Systems Inc. is hiring for this role. Industry: Electromedical and Electrotherapeutic Apparatus Manufacturing. Sector: 33.