Prior Authorization Specialist

Prior Authorization Specialist

Location: Elk Grove Village, IL (Hybrid – Onsite 2 Days per Week)
Type: Full-Time
Pay Range: $23 per hour
Schedule: M-F 8:00a - 4:30p or 8:30a - 5:00p

About the Role

MedOp Solutions is hiring a Prior Authorization Specialist to support one of our specialty pharmacy clients in the Elk Grove Village area. This hybrid role offers the flexibility of remote work while maintaining in-person collaboration two days per week.

In this position, you’ll work closely with the Benefits Verification Team to ensure patients have timely access to prescribed therapies. You’ll play a critical role in navigating insurance requirements, coordinating with provider offices, and managing prior authorization requests from start to finish.

Key Responsibilities

• Verify patient insurance coverage, benefits, and prescriptions.

• Review and interpret prescriptions and medical policies to determine authorization requirements.

• Contact physician offices to obtain required clinical documentation.

• Initiate prior authorizations with insurance plans and follow up on pending requests within 48 hours.

• Manage re-authorizations and track expiring approvals 60 days prior to ensure continuity of care.

• Document all activity accurately and maintain compliance with internal and payer guidelines.

What You Bring

• Experience working with major medical insurance and pharmacy benefits.

• Working knowledge of HCPC (J-Codes) and ICD-10 diagnosis codes.

• Strong ability to read prescriptions and translate them into authorization requests.

• Excellent communication skills and attention to detail.

• Ability to manage multiple cases in a fast-paced, deadline-driven environment.

What You Need

• High School Diploma/GED equivalent
• Relevant experience 1-3 years

Why Join MedOp Solutions

At MedOp Solutions, you’ll be part of a team that helps patients access life-changing treatments while working in a collaborative, supportive environment. This role offers a balance of flexibility and stability, along with the opportunity to grow your expertise in prior authorization and revenue cycle operations.

About MedOp Solutions

MedOp Solutions is a dynamic and rapidly growing enterprise dedicated to connecting top talent with leading organizations. Specializing in innovative staffing solutions—offered through flexible arrangements including temporary placements, temp-to-hire options, consulting, and direct hire services—we are committed to delivering exceptional service to both clients and candidates.

With a strong nationwide presence and recognition on the Inc. 5000 list of Fastest-Growing Private Companies in America (2019–2025), MedOp Solutions exemplifies excellence and growth. We are equally dedicated to fostering internal development and supporting career advancement opportunities for our team members.

MedOp Solutions is proud to be an Equal Opportunity Employer. We consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, genetic information, disability status, protected veteran status, or any other legally protected characteristic or group status.

We are committed to creating a culturally diverse and inclusive workplace where individuals of all abilities are welcomed and supported. If you require a reasonable accommodation during the application or interview process, please contact us at HR@medopsolutions.com. Include the nature of your request and your contact information, and we will be happy to assist you.

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