layiq
/la·yiq/adjective
worthy; deserving; fitting; suitable.
A role, opportunity, or path that merits attention, time, and pursuit.
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Job opportunity
Prior Authorization Specialist
Claim Health
New York City, New York, United States
Source: Claim Health careers · View original posting
Employer job description
From Claim Health's posting. “We” and “our” refer to the employer.
About the Role
We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice.
Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically verifies benefits, gathers documentation, submits authorizations, follows up with payers, and monitors approval status. Your role is to ensure those automations run accurately, efficiently, and according to payer requirements.
You'll combine deep operational knowledge with process improvement, helping us encode payer-specific workflows into software that scales across thousands of authorization requests.
This isn't a traditional authorization desk role. It's an operations role for someone who understands the complexity of authorizations and wants to help automate them.
What You'll Do
- Audit authorization workflows
- Review authorization requests completed by our automations for completeness, accuracy, and turnaround time. Identify recurring failure points and determine whether issues stem from payer requirements, documentation, or automation logic.