Insurance Authorization Specialist

Job Summary

A company is looking for an Insurance Authorization Specialist responsible for securing insurance authorizations for medical services.

Key Responsibilities

• Initiate and track insurance prior authorizations for medical services
• Verify insurance eligibility and benefits, and document authorization statuses in EMR and PM systems
• Communicate with insurance carriers and inform patients of authorization status and potential delays

Required Qualifications, Training, and Education

• High School Diploma or equivalent required; Associate's degree in a related field preferred
• Minimum 1 year of experience in medical office, insurance verification, or healthcare billing
• Familiarity with payer rules, authorization requirements, and EMR documentation preferred
• Comprehensive understanding of insurance verification and medical terminology
• Ability to follow policies and procedures while maintaining data integrity