High school diploma or equivalent required.
Minimum of 1–2 years of experience in prior authorization, referral coordination, insurance verification, medical office support, or related healthcare administrative work.
Experience working with electronic medical records or electronic health records.
Familiarity with Medicare, Medicaid, managed care plans, payer requirements, and authorization workflows.
Working knowledge of medical terminology, CPT and ICD-10 codes, referral processes, and insurance documentation requirements.