Insurance Authorization Specialist

Job Summary

Insurance Authorization Specialist is a full-time position responsible for securing financial clearance and completing pre-authorizations for complex healthcare services, including surgical procedures and treatments.

Key Responsibilities

• Secure pre-authorizations from insurance companies for high-dollar healthcare services
• Review medical records and documentation to ensure accurate submission for ordered services
• Communicate with healthcare providers and insurance carriers to facilitate authorization decisions

Required Qualifications

• Minimum two 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 interpreting CPT and HCPCS codes in alignment with payer guidelines
• Completion of a health vocational program preferred