Position
Prior Authorization Specialist
Approvals worked daily. Care delays prevented.
A prior authorization specialist owns the entire prior auth lifecycle — submitting auths through CoverMyMeds, Surescripts, payer portals, and fax, attaching clinical documentation, calling for status, working denials, and filing peer-to-peer appeals. They keep prior auth approval rates above 85% and prevent the care delays that lead to no-shows and lost revenue.
What is a prior authorization specialist?
A prior authorization specialist owns the entire prior auth lifecycle — submitting auths through CoverMyMeds, Surescripts, payer portals, and fax, attaching clinical documentation, calling for status, working denials, and filing peer-to-peer appeals. They keep prior auth approval rates above 85% and prevent the care delays that lead to no-shows and lost revenue.
What a prior authorization specialist does day-to-day
Our prior authorization specialists pick auths off the worklist inside your EHR, prepare submissions with the right clinical justification, and follow them to completion — including peer-to-peer appeals when required. They are trained on the most common categories: imaging (MRI, CT), brand-name medications (GLP-1s, biologics, brand insulins), DME, specialist referrals on Medicare Advantage, surgical procedures, and home health.
Daily responsibilities of a prior authorization specialist
- Daily submission of prior auths through CoverMyMeds, payer portals, and fax
- Clinical documentation packaging and submission
- Status calls and follow-up on pending auths
- Denial work and peer-to-peer appeal coordination
- Patient and provider notification on approval/denial
Tools & EHRs supported
Practices that hire prior authorization specialists through Staffing For Doctors
Each practice gets a prior authorization specialist trained on the EHR, payers, and workflows specific to that specialty.
Family Medicine
Prior Authorization Specialist
View specialty roleInternal Medicine
Prior Authorization Specialist
View specialty rolePediatrics
Prior Authorization Specialist
View specialty roleCardiology
Prior Authorization Specialist
View specialty roleOrthopedics
Pre-op Authorization Specialist
View specialty roleDermatology
Prior Authorization Specialist (Biologics)
View specialty roleOB/GYN
Surgical Authorization Specialist
View specialty rolePhysical Therapy
Authorization & Plan-of-Care Coordinator
View specialty roleFrequently asked questions
About hiring a prior authorization specialist from Staffing For Doctors.