Posted:
7/2/2026, 1:08:39 PM
Location(s):
Washington, District of Columbia, United States ⋅ District of Columbia, United States
Experience Level(s):
Mid Level ⋅ Senior
Field(s):
IT & Security
Workplace Type:
On-site
Our NEW Pediatric Behavioral Health Center is scheduled to open in December 2026. Candidates applying for this position should expect a start date after September 1, 2026. All applicants must be 21 years of age or older and provide three professional references as part of the hiring process.
General Description
Under general supervision, the Prior Authorization Specialist I complete prior authorization workflows using defined protocols, system and payer rules.
Essential Job Duties
Submit prior authorization requests using standard payer workflows.
Verify basic benefits, coverage, and authorization requirements.
Track authorization status and update Epic accurately.
Escalate incomplete or non‑standard cases per protocol.
Collaborate with departments across the organization.
General Job Duties
Performs other duties as assigned
Education: High School Diploma or GED required.
Certification/License/Registration: None required.
Experience: No experience required.
Education: High School Diploma or GED required.
Experience: At least 3 years of prior authorization experience required.
Certification/License/Registration: CHAA or PACS required after 1 year.
Education: High School Diploma or GED required.
Experience: At least 5 years of prior authorization experience required.
Certification/License/Registration: CHAA or PACS required.
Knowledge, Skills & Abilities
Foundational understanding of payer types and referral/authorization concepts.
Ability to follow standardized workflows and documentation requirements.
Developing proficiency in Epic and payer portals.
Accuracy, timeliness, and compliance focus.
Good written and verbal communication skills
Website: https://ouhealth.com/
Headquarter Location: Washington, District of Columbia, United States
Employee Count: 10001+
Year Founded: 1910
IPO Status: Private
Industries: Health Care ⋅ Health Diagnostics ⋅ Hospital ⋅ Medical ⋅ Oncology