Prior Authorization Specialist

Job Description

Job Description

Prior Authorization Specialist

Location: Wallingford, CT (On-site)

Schedule: Monday-Friday, 8:00 AM-5:00 PM

Employment Type: Full-Time | Contract-to-Hire

A leading cardiology practice in Connecticut is seeking a Prior Authorization Specialist to join its Wallingford office. This individual will play a key role in supporting patient care by obtaining timely insurance approvals for cardiology procedures, imaging services, and medications while ensuring a seamless experience for patients and providers.

• Submit, track, and follow up on prior authorization requests for procedures, diagnostic testing, imaging, and medications.
• Verify insurance benefits and coverage requirements.
• Review Explanation of Benefits (EOBs) and resolve authorization-related issues.
• Communicate with insurance carriers, patients, providers, and clinical staff regarding authorization status.
• Document all authorization activity accurately within the EMR system.
• Follow up on pending requests, denials, and appeals to minimize delays in patient care.
• Maintain current knowledge of payer guidelines and cardiology-specific authorization requirements.
• Assist with patient scheduling, registration, and other front-office support functions as needed.

• 1-3 years of prior authorization, medical office, patient access, or healthcare administrative experience.
• Experience with insurance verification and prior authorizations.
• Knowledge of Explanation of Benefits (EOBs).
• Strong communication, organizational, and customer service skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Proficiency with EMR systems and Microsoft Office.

• Cardiology experience.
• Familiarity with CPT and ICD-10 coding.
• Experience with Epic EMR.
• Background supporting imaging or MRI authorizations.
• Medical scheduling or patient registration experience.

• Prior Authorization
• Insurance Verification
• Patient Registration
• Medical Scheduling
• Patient Access
• Authorizations Management
• EMR/Epic Systems
• Customer Service

• Fast-paced cardiology practice.
• Collaborative healthcare team environment.
• Opportunity for long-term growth through a contract-to-hire position.

This is a Contract to Hire position based out of Wallingford, CT.

The pay range for this position is $20.00 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully onsite position in Wallingford,CT.

This position is anticipated to close on Aug 24, 2026.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.