Insurance Authorization Specialist

Job Summary

A company is looking for an Insurance Verification Authorization Specialist.

Key Responsibilities

• Secure pre-authorizations from insurance companies for various healthcare services
• Respond to clinical inquiries through insurance portals to support authorization approvals
• Review medical records and documentation for accurate submission of authorization requests

Required Qualifications

• Minimum two (2) years of experience in pre-authorization, referral coordination, or insurance billing
• Customer service experience in a healthcare setting
• Proficiency in medical terminology, validated by examination
• Experience interpreting CPT and HCPCS codes in alignment with payer guidelines
• Completion of a health vocational program preferred