Prior Authorization Specialist

Job overview

The Prior Authorization Specialist role is onsite in Bedford, Indiana. Compensation is not specified; the posting describes it as competitive. The role supports Grace at Work’s healthcare team and helps patients access needed care through authorization and care coordination. The specialist manages authorization requests and related follow-up, reviews clinical documentation, communicates status to patients and care teams, and supports appeals with medical documentation. Accurate records and current knowledge of payer requirements help keep authorization work organized and timely.

What you'll do

• Submit and manage prior authorization requests to insurance carriers
• review clinical documentation for complete and accurate submissions
• follow up on pending, denied, and approved authorizations
• communicate status updates to clinical staff, providers, and patients
• gather supporting medical documentation for appeals
• maintain records in EHR or practice management systems
• stay current on payer guidelines and requirements.

What we're looking for

Skills & competencies

prior authorization specialist

bedford in

grace at work

healthcare administration

prior authorizations

insurance verification

payer portals

cpt/icd-10

ehr systems

medical documentation

patient care coordination

Work arrangement

• Weekend coverage required

Benefits & perks

• Employee discounts
• health insurance
• 401(k)
• advancement opportunity
• training and development.

Why this role

High school diploma or equivalent required; medical or billing certification is a plus.

About the employer

GRACE AT WORK is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.