Insurance Authorization Specialist

Job Summary

Insurance Authorization Specialist, responsible for securing insurance authorizations for medical services in a full-time remote position, ensuring timely patient care and accurate reimbursement.

Key Responsibilities

• Initiate and track insurance prior authorizations for medical services
• Verify insurance eligibility and benefits using payer portals or direct contact
• Document authorization statuses in the electronic medical record (EMR) and Practice Management (PM) system

Required Qualifications, Training, and Education

• High School Diploma or equivalent required
• Associate's degree in healthcare administration, billing, or related field preferred
• Minimum 1 year of experience in medical office, insurance verification, or healthcare billing
• Familiarity with payer rules and authorization requirements preferred
• Comprehensive understanding of insurance verification and medical terminology