Prior Authorization Specialist
Adaptive Biotechnologies · Remote
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Role summary
Prior Authorization Specialist responsible for obtaining insurance approvals for clonoSEQ MRD Assay. The role manages authorization requests, maintains compliance documentation, coordinates with payers, and optimizes claims processing workflows. Position is fully remote.
What they're looking for
- High school diploma or equivalent
- Minimum 2 years prior authorization, medical billing, or insurance verification experience
- Strong understanding of insurance processes and medical terminology
- Proficiency in EMR systems and Microsoft Office Suite
- Excellent communication, organizational, and problem-solving skills
- Attention to detail and ability to manage multiple priorities independently
What you'll be doing
- Submit and track prior authorization requests for clonoSEQ assay
- Review clinical documentation for payer compliance requirements
- Communicate with insurance companies to resolve authorization issues
- Maintain accurate authorization records in RCM system and ensure HIPAA compliance
- Monitor payer policies and escalate denial or delay trends to management
Compensation$21.68 - $23.99 hourly
Privacy & handoff
This role links to Adaptive Biotechnologies's own application system. RoleLantern records your interest and checks the link, but the application happens on the employer's site and status updates may not come back to us. Clicking apply does not mark you as applied automatically.