PRIOR AUTHORIZATION SPECIALIST (10221)

Location(s): Jeffersonville
Department: Precertification
Job Type: Full Time, Non-Exempt
Schedule: Monday through Friday (Day Shift)

Reports to: Precertification Manager

About First Urology, PSC
As the largest urologic provider in the greater Louisville and southern Indiana area, First Urology offers comprehensive urologic care for men, women and children of all ages. At First Urology, our physicians are dedicated to finding solutions to a wide range of issues to help patients regain to the quality of life they deserve. Recent groundbreaking advancements include First Urology’s utilization of High Intensity Focused Ultrasound as a game-changing technology in the treatment of prostate cancer. HIFU can provide precise and complete destruction of prostate cancer, while preserving normal bladder and erectile function for most men. As a Regional Center of Excellence, First Urology is the first practice in America to use the newly FDA approved Sonablate HIFU system. To find learn more about First Urology, go to www.1sturology.com

Why First Urology?

First Urology has been awarded Best Places to Work in Louisville and Southern Indiana by Business First of Louisville for eight years in a row! We offer competitive compensation, a strong 401k, generous PTO, employee vacation rentals, and a strong work-life balance supported by a no-nights/no-weekends schedule.

Position Summary

The Prior Authorization Specialist is responsible for obtaining and processing insurance authorizations for medical procedures, medications, and services. This role ensures timely approvals, accurate documentation, and compliance with insurance guidelines to prevent delays in patient care.

Key Responsibilities

• Submit prior authorization requests to insurance companies via phone, fax, or online portals
• Verify patient insurance eligibility and benefits
• Review medical documentation to ensure completeness and accuracy
• Follow up with insurance carriers regarding pending authorizations
• Communicate authorization status updates to providers, clinical staff, and patients
• Appeal denied authorization requests when appropriate
• Maintain accurate records in EMR/EHR systems
• Ensure compliance with HIPAA and insurance regulations
• Work closely with billing and coding departments to prevent claim denials

Qualifications

• High school diploma or equivalent
• 1 year experience in medical billing, prior authorizations, or healthcare administration preferred
• Knowledge of CPT, ICD-10, and HCPCS codes
• Familiarity with insurance guidelines, including Medicare and Medicaid
• Strong computer skills and experience with EMR/EHR systems
• Excellent communication and organizational skills
• Ability to multitask in a fast-paced medical office environment

Skills & Competencies

• Attention to detail
• Strong problem-solving abilities
• Time management skills
• Customer service oriented
• Ability to work independently and as part of a team

Benefits:

• 401(k) company contribution of 7.5% annual salary (whether you contribute or not) 
• Dental insurance
• Health insurance
• Vision
• Company Paid Life insurance 20k
• Company Paid AD&D 20K
• Company Paid Long-Term Disability 60%
• 6 Days of Sick Time
• 8 Paid Holidays
• 10 Days of Vacation Time
• Milestone Checks
• Cabin/Condo for vacations

EEOC Statement:

First Urology provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. May be required to undergo background check and/or drug screen.