Prior Authorization Specialist

Position Title: Prior Authorization Specialist Department: Pre-visit Services Job Description: New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F, Days. Will need to be on-site as needed, at least monthly. **Ideal candidate will have experience in pre-visit services for multiple areas, working with authorizations.** General Description Under general supervision, the Prior Authorization Specialist I complete prior authorization workflows using defined protocols, system and payer rules. Essential Job Duties Submit prior authorization requests using standard payer workflows. Verify basic benefits, coverage, and authorization requirements. Track authorization status and update Epic accurately. Escalate incomplete or non‑standard cases per protocol. Collaborate with departments across the organization. General Job Duties Performs other duties as assigned Minimum Requirements (Level 1) Education : High School Diploma or GED required. Certification/License/Registration: None required. Experience: No experience required. Minimum Requirements (Level 2) Education: High School Diploma or GED required. Experience: At least 3 years of prior authorization experience required. Certification/License/Registration: CHAA or PACS required after 1 year. Minimum Requirements (Level 3) Education : High School Diploma or GED required. Experience: At least 5 years of prior authorization experience required. Certification/License/Registration : CHAA or PACS required. Knowledge, Skills & Abilities Foundational understanding of payer types and referral/authorization concepts. Ability to follow standardized workflows and documentation requirements. Developing proficiency in Epic and payer portals. Accuracy, timeliness, and compliance focus. Good written and verbal communication skills #cb Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.