LifeBridge Health Is Hiring A Prior Authorization Specialist

Join Our Team as a Prior Authorization Specialist! 🚑

Ensure smooth patient access to necessary care by managing insurance authorizations in a busy outpatient setting.

Job Summary

The Prior Authorization Specialist acts as a vital liaison between patients, healthcare providers, and insurance companies, making sure treatments are properly authorized and covered. Supporting both family medicine and specialty practices, this role is crucial in reducing delays in care and ensuring compliance with payer requirements. The specialist coordinates and obtains insurance approvals for medications, diagnostics, procedures, and durable medical equipment (DME), facilitating timely access to essential healthcare services.

Key Responsibilities

• 📞 Contact insurance companies to initiate prior authorization requests
• 📝 Review patient medical records to assess the need for treatments or medications
• 📂 Provide supporting documentation to justify medical necessity
• 🔄 Follow up with insurance companies on authorization status
• ⚖️ Appeal denied prior authorization requests when appropriate
• 💬 Communicate with patients and providers regarding authorization updates and delays
• 🔍 Identify opportunities to streamline the process within the practice

Qualifications & Experience

• 🔹 1 year of experience required; 3+ years preferred
• 🔹 Certified Medical Administrative Assistant and/or Certified Professional Coder preferred
• 🔹 Post-secondary education in healthcare administration, medical office management, or related fields such as health information management, billing, or coding is preferred

Additional Information

Who We Are

LifeBridge Health is a dynamic health system committed to redefining care delivery across the mid-Atlantic region. Our mission is to "improve the health of people in the communities we serve." Join us to enhance health access, elevate patient experiences, and support a community-focused approach rooted in innovation and compassion.

What We Offer

• Impact: Be part of a team delivering life-saving care to vulnerable populations 🚑
• Growth: Opportunities for professional development, including tuition reimbursement and leadership training 📚
• Support: Collaborative culture with resources like practice councils and advanced education support 🤝
• Benefits: Competitive pay, health plans, free parking, and wellness programs 💼

Why Choose LifeBridge Health?

With a workforce of over 14,000 employees, 130 care locations, and two million annual patient encounters, we integrate growth, innovation, and community dedication. Our top centers include Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center & Hospital. Our culture, CARE BRAVELY, emphasizes compassion, courage, and urgency — empowering our teams to shape the future of healthcare.

LifeBridge Health is committed to equal opportunity employment and does not discriminate based on race, color, national origin, age, disability, sex, sexual orientation, or gender identity/expression, complying with all applicable civil rights laws.