Authorization Specialist

Job Summary

Managing patient authorization workflows, the full-time remote Authorization Specialist will verify insurance coverage, obtain pre-authorizations, and coordinate with healthcare providers to ensure timely approvals for patient services.

Key responsibilities

• Review and process requests for medical authorizations and referrals in accordance with insurance guidelines
• Communicate with insurance companies to verify patient coverage and resolve authorization denials or delays
• Collaborate with healthcare providers and patients to gather required documentation for accurate submission of authorization requests

Required qualifications

• High school diploma or equivalent; Associate's degree or higher in healthcare administration or related field preferred
• 1-2 years of experience in medical billing, insurance authorization, or healthcare administration
• Strong knowledge of health insurance plans, medical terminology, and healthcare reimbursement processes
• Proficiency with electronic health records (EHR) systems and insurance verification software
• Experience working with multiple insurance providers, including Medicare and Medicaid