About this role
Location Detail: 1290 Silas Deane Hwy Wethrsfld (10181)
Shift Detail: Mon-Fri
Start here at Hartford HealthCare and be part of something better!
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do. We invite you to become part of Connecticut’s most comprehensive healthcare network.
Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties.
At Hartford HealthCare Medical group we offer:
- Supportive environment to promote professional and interpersonal development and growth
- Tuition Assistance up to $5,250.00 after six months of employment and up to 40% tuition discounts with partnering institutions for colleague AND dependents
- Medical, dental and vision coverage options
- Generous PTO to promote work/life balance
- Employee assistance and wellness programs including a strong focus on promoting mental health
- Discounts on services, products and optional coverages – movie tickets, pet insurance, travel and more!
JOB SUMMARY
The Prior Authorizations Specialist I is responsible for obtaining and managing insurance prior authorizations for medical services, procedures, diagnostic testing, medications, and specialty treatments. This role serves as a liaison between healthcare providers, patients, and insurance carriers to ensure timely authorization approvals and minimize delays in patient care. The Prior Authorizations Specialist I supports efficient operations by verifying benefits, submitting authorization requests, tracking approvals, and maintaining accurate documentation.
- Obtain prior authorizations for medical procedures, diagnostic testing, treatments, medications, and specialty services.
- Verify insurance eligibility, benefits, and authorization requirements.
- Accurately document authorization activities in the electronic health record (EHR) and applicable systems.
- Assist with managing authorization denials and requests for additional information.
- Communicate with patients regarding authorization requirements and status updates.
- Maintain compliance with payer requirements, regulatory standards, and organizational policies.
- Perform other related duties as required
Qualifications
Minimum Requirements
Education
- High school diploma or equivalent required.
Preferred Requirements
Education
- Associate degree in Healthcare Administration, Business, Medical Office Administration, or a related field preferred.
Experience
- Minimum of one year of experience in healthcare administration, patient access, medical billing, insurance verification, or prior authorizations preferred.
- Experience working with insurance carriers, payer portals, and electronic health records (EHR) preferred.
We take great care of careers.
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.