Prior Authorization Resolution Specialist

Prior Authorization Resolution Specialist at Ultimate Staffing Services Prior Authorization Resolution Specialist at Ultimate Staffing Services in Roseville, Minnesota Posted in 6 days ago. $67,000.00

• $75,000.

00 per year

Job Description:

Prior Authorization Resolution Specialist

• Remote (MN Residents Only) Fully Remote $67,000
• 75,000 Monday-Friday | Flexible within regular business hours Temp
• to•Hire The Opportunity The Prior Authorization Resolution Specialist is responsible for resolving prior authorization (PAR) denials and delays that slow insurance approvals.

This role works directly with Primary Care Providers (PCPs), clinics, insurance payers, internal clinical teams, and families to address missing documentation, denials, and requests for additional information. This position is ideal for healthcare insurance professionals with strong experience in prior authorizations, denials, and appeals who enjoy problem-solving and cross-functional collaboration. Key Responsibilities Investigate and resolve prior authorization issues and denials Communicate directly with clinics and PCPs to address documentation gaps Coordinate with insurance payers, internal teams, clinicians, and families Analyze denial trends to improve future funding and approval success Maintain accurate insurance and PAR requirement documentation Manage PAR cases with urgency to avoid delays in care Respond to insurance and funding inquiries accurately and timely Ensure compliance with HIPAA, FERPA, and internal policies Collaborate on workflow and process improvements using CRM tools Demonstrate department values of active listening, learning, and leadership Requirements Bachelor's degree preferred 3+ years of healthcare insurance or medical funding experience Strong background handling prior authorization denials and appeals across multiple payers Experience working directly with provider offices/PCPs Excellent written and verbal communication skills Strong analytical and problem-solving abilities Ability to multitask efficiently under pressure Self-motivated and comfortable working independently and with teams Adaptability in a fast-paced, changing environment Proficiency with data entry, account management, and learning new systems Demonstrated ability to identify and implement process improvements

Compensation & Schedule Salary:

$67,000

• 75,000

Schedule:

Monday-Friday, flexible within standard business hours

Location:

Fully remote Benefits During Contract Period Medical coverage with pharmacy, virtual care, and emotional support Dental and vision coverage Hospital indemnity, accident, and critical illness plans Life insurance and short-term disability (eligibility based on hours worked) Earned sick and safe time Discount programs for travel, entertainment, and shopping Benefits Upon Conversion to Permanent Employer-subsidized medical insurance Generous paid time off and paid holidays (approximately 45 paid days annually) Holiday and year-end bonuses Lifestyle spending account for wellness and personal expenses 401(k) with company contribution Employee ownership program Tuition reimbursement and monthly student loan assistance Cell phone and internet reimbursement Health Savings Account with employer contribution Paid volunteer time Why You'll Love This Role Purpose-driven work that positively impacts lives Flexible, remote-friendly environment Strong collaborative culture that welcomes new ideas Clear opportunities for growth and advancement Employee ownership and profit-sharing mindset Supportive, people-first leadership All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.