Insurance Authorization Specialist

Job Summary

A company is looking for an Insurance Verification Auth Specialist responsible for securing financial clearance and completing pre-authorizations for patients undergoing complex healthcare procedures.

Key Responsibilities

• Secure pre-authorizations for complex healthcare services, including surgical procedures and treatments
• Review medical records and documentation to ensure accurate submission for authorization requests
• Communicate with healthcare providers and insurance carriers to facilitate authorization decisions

Required Qualifications

• Minimum two (2) years of experience in prior-authorizations or insurance billing within a healthcare setting
• Customer service experience in healthcare
• Proficiency in medical terminology, validated by examination
• Experience with medical policies and interpreting CPT and HCPCS codes
• Completion of a health vocational program preferred; one (1) year of post-secondary coursework preferred