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Prior Authorization Specialist at Parkland Health and Hospital System

Position Prior Authorization Specialist
Posted 20 Apr 2026
Expired 20 May 2026
Company Parkland Health and Hospital System
Location United States | US
Job Type Full Time

Job Description:

Latest job information from Parkland Health and Hospital System for the position of Prior Authorization Specialist. If the Prior Authorization Specialist vacancy in United States matches your qualifications, please submit your latest application or CV directly through the updated Jobkos job portal.

Please note that applying for a job may not always be easy, as new candidates must meet certain qualifications and requirements set by the company. We hope the career opportunity at Parkland Health and Hospital System for the position of Prior Authorization Specialist below matches your qualifications.

Location: 8435 Stemmons Bldg.
Summary
Responsible for performing benefits verification and prior authorization functions with insurance carriers to ensure optimal reimbursement for high cost medications, surgeries and procedures, within an established time frame, for patient cases submitted to Patient Financial Services.
Responsibilities

  • Ensures correct referral form is completed for patient's plan. Reviews referral for accurate information prior to authorization to include patient provider identification information, clinic or procedure requested, and appropriate CPT-4 /billing codes. Contacts clinic to obtain additional information as needed.
  • Assists with medical necessity documentation and clearance to expedite approvals and ensure that appropriate follow-up is performed.
  • Collaborates with other departments, clinics, and procedures areas to assist in obtaining authorization/pre-certifications in a cross functional manner.
  • Contacts plans to extend authorization dates, obtain additional visits and urgent/priority authorizations/pre-certifications, as needed.
  • Notifies clinic/procedure area, Nurse Navigator, Providers and/or patients to inform them of the authorization denials. Obtains additional clinical information for denials and submits appeals to the plan for further consideration.
  • Completes documentation of referrals in software to include the authorization number, number of visits, and the authorization period (dates) to ensure claims are paid in a timely manner.
  • Utilizes software to process and track referrals and submit medical records to insurance carriers to expedite prior authorization processes.
  • Creates patients' records and accounts and ensure that pre-authorization information is properly updated.
  • Secures patients' demographics and medical information and ensures that all procedures are in sync with HIPPA compliance and regulation.
  • Other duties as assigned.
Career Type: Support
  • Individual contributors who support operational, functional or business strategy through tactical support of daily activities (clerical, administrative, technical). The majority of time is spent in the delivery of front line services or activities, typically under direct supervision.
  • Works to deliver day-to-day objectives with impact typically limited to particular job area and/or department
  • Makes minor adjustments to work methods to solve problems that are often routine and typically exist in current work processes and systems. Changes often require higher-level approval
  • Requires knowledge of operational, functional, and/or business systems and practices
Competencies
  • Leadership & Talent Management
  • May provide guidance, helping to train and review work of entry level employees
  • Organizational Impact Delivers on day-to-day objectives with direct impact on team/unit results with some supervision
  • Daily challenges are typically of a routine nature, but may at times require interpretation or deviation from standard procedures
  • Communication & Influence
  • Communicates information that requires explanation or interpretation of moderate importance to the team/unit
Knowledge & Experience
  • Requires broad knowledge of operational, functional, and/or business systems and practices typically obtained through some experience, education, or vocational training
Degree
  • No advanced education is typically required
Years of Experience
  • Between 3 and 6
Requirements
Education Requirements
  • HS/GED High School Diploma or GED.
Preferred
  • None
Required Certifications / Licensure
  • None
Preferred Certifications / Licensure
  • None
Equivalent Education and/or Experience
  • None

Requisition ID: 986121

Job Info:

  • Company: Parkland Health and Hospital System
  • Position: Prior Authorization Specialist
  • Work Location: United States
  • Country: US

How to Submit an Application:

After reading and understanding the criteria and minimum qualification requirements explained in the job information Prior Authorization Specialist at the office United States above, immediately complete the job application files such as a job application letter, CV, photocopy of diploma, transcript, and other supplements as explained above. Submit via the Next Page link below.

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