Authorization Specialist CHAA Certified

Job Summary

To support patient services, the full-time Authorization Specialist CHAA Certified will manage authorizations with payers, verify insurance benefits, and maintain accurate records while working remotely.

Key responsibilities

• Obtain initial and ongoing authorizations from various insurance carriers and process related denials
• Maintain collaborative relationships with clinical staff and billing teams to ensure efficient documentation and customer service
• Respond to inquiries regarding authorization status and communicate effectively with patients and healthcare professionals

Required qualifications

• High School Diploma or equivalent required
• CHAA Certification within 6 months of hire
• Two years of experience as an Authorization Specialist preferred, or two years in a healthcare, office, or customer service setting
• Knowledge of medical terminology, insurance authorization processes, and relevant coding (ICD-10CM, CPT & HCPCS)
• Understanding of tribal health programs and customer service principles