Authorization Specialist - South Carolina

Job Summary

To support a growing medical billing team, the full-time remote Authorization Specialist - South Carolina will manage the authorization process for buy and bill drugs, verify patient benefits, and resolve accounts receivables while maintaining compliance with regulations and company policies.

Key responsibilities

• Obtain authorizations for buy and bill drugs and submit claims to insurance companies
• Analyze patient accounting information and communicate with payer resources to resolve payment issues
• Track claim status, follow up on denials, and prepare appeal letters for technical denials

Required qualifications

• 2-3 years of accounts receivable experience in a physician office setting
• Previous Buy and Bill experience preferred
• General knowledge of HCPCS, CPT-4, and ICD-10 coding or medical terminology
• Familiarity with multiple payer requirements and regulations for claims processing
• High School Diploma or GED required