The Fundamentals of Prior Authorization

How to successfully obtain prior authorizations
Free tutorial
Rating: 4.8 out of 5 (9 ratings)
736 students
52min of on-demand video
English [Auto]

Understanding the role of a prior authorization specialist
Know the different types of authorizations in healtcare
Understand the workflow of authorizations
Get a career in prior authorization specialist or an administrative assistant in healthcare who needs the knowledge to obtain prior authorizations.


  • No requirements are needed, you will learn everything that there is to know to get job opportunities for prior authorization specialist


The Fundamentals of Prior Authorization will cover the following topics:

1. Prior Authorization Process

2. Team Members of the Prior Authorization Process

3. Insurance Payers

4. Medical Coding

5. Medical Terminology

6. Medical Records

7. Service Line Authorization Workflow

8. Service Line Authorization Fundamentals

9. Medication Line Authorization Workflow

10. Medication Line Authorization Fundamentals

11. Out of Network – Non-Participating Authorization


13. Ways of Submitting Prior Authorization

14. The Approval

15 Denials and Appeals

16. The Future of Prior Authorizations

These concepts will provide the student with complete understanding of what is needed to be successful in obtaining prior authorizations. This course goes in details about what is needed to obtain authorization for infusion therapy medications which is the most complex type of prior authorization requests. The student will walk away with the knowledge that is needed to land a job in various medical settings such as a doctor's office, homecare, diagnostic and treatment center or a hospital. This course is also helpful for those who are in the field already and wants to improve their standard workflow. Also, job opportunities exist in which the student can work from the comfort of their own home obtaining prior authorizations. This course open for everyone. It does not matter if you are a nurse, a clerk or doctor or someone who never had experience in a healthcare setting.  As your instructor, I am very happy to share with you my knowledge and experience in this field. I would also like to take the opportunity in advance for thanking everyone who has made the decision to enroll in this course.

Who this course is for:

  • This course is for people who are interested in field of becoming a prior authorization specialist, or works in the healthcare that requires the knowledge of obtaining prior authorizations.
  • Also, this course give the opportunity to those who can not afford to take the training course to be a certified prior authorization specialist which cost $900.00 by the ACMA. I paid $1000 for my certification and I want to share my knowledge along with my experience in healthcare with those who want to get their foot in the door.


Prior Authorization Instructor
Sylvia Rosa
  • 4.8 Instructor Rating
  • 9 Reviews
  • 736 Students
  • 1 Course

Work at a NYC Hospital since 1998 and I am currently overseeing an authorization unit as well the oncology unit. My list of certifications are: certified billing and coding specialist, certified electronic health record specialist, certified medical administrative assistant and prior authorization certified specialist. I have two mottos: knowledge is power and sharing is caring.

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