Authorization Specialist

Job Summary

Working remotely in a full-time capacity, the Authorization Specialist will verify patient insurance coverage, submit prior authorizations, and ensure accurate medical documentation while collaborating with various departments to facilitate timely approvals.

Key responsibilities

• Verify patient insurance coverage and submit prior authorizations through payer-specific portals
• Follow up on pending authorizations and communicate any denials to appropriate staff
• Document activities and participate in quality assurance and educational activities

Required qualifications

• High school diploma or GED equivalent required
• 3-5 years of experience in medical billing, health insurance, or collections
• Preferred experience in insurance billing and prior authorizations
• Working knowledge of ICD-10, CPT, and HCPCS coding is preferred
• Ability to navigate multiple systems, including billing software and payer portals