Experienced Prior Authorization Specialist
- Location
- Remote (US)
- Listed
- Yesterday
About the role
Department: Pre-visit Services
About the role
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 Oklahoma before their first day of employment. Please do not apply if you do not currently/will not reside in Oklahoma at the time of start.
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 high volume authorizations.
General Description
Under general supervision, the Prior Authorization Specialist II effectively manages complex authorizations across multiple payers and specialties.
Essential Job Duties
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position.
- Independently manage complex and specialty-specific authorization requests.
- Interpret payer medical policies and utilization management criteria.
- Resolve authorization denials and incomplete determinations.
- Coordinate with clinical teams to obtain medical necessity documentation.
General Job Duties
- Performs other duties as assigned
Minimum Requirements
- 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.
Knowledge, Skills & Abilities
- Applied expertise in payer medical policy interpretation.
- Strong knowledge of specialty-driven authorization requirements.
- Ability to analyze denial trends and recommend corrective actions.
- Excellent written and verbal communication skills.
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Equal opportunity and legal notices
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.
From OU Medicine's careers page, first listed on Rolev.ai on November 13, 2026. Rolev.ai is not the employer.
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Common questions
Where is the Experienced Prior Authorization Specialist job at OU Medicine located?
Yes, this Experienced Prior Authorization Specialist opening at OU Medicine is listed as Remote (US). Always check OU Medicine's application page for specific state eligibility or relocation policies.
How do I apply for the Experienced Prior Authorization Specialist position at OU Medicine?
This listing links directly to OU Medicine's Workday application page. You can apply directly on OU Medicine's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Workday application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.