Insurance Authorization Specialist

Job Summary

To ensure timely patient care and accurate reimbursement, the full-time Insurance Authorization Specialist will secure insurance authorizations for medical services while working remotely, with no weekends, evenings, or holidays required.

Key responsibilities

• Initiate and track insurance prior authorizations for medical services and verify insurance eligibility and benefits
• Accurately document authorization statuses in the electronic medical record (EMR) and Practice Management (PM) system
• Communicate with insurance carriers to gather necessary clinical documentation and inform patients of authorization status

Required qualifications

• High School Diploma or equivalent required; Associate's degree in healthcare administration or related field preferred
• Minimum 1 year of experience in medical office, insurance verification, or healthcare billing
• Comprehensive understanding of insurance verification, contract benefits, and medical terminology
• Familiarity with payer rules, authorization requirements, and EMR documentation preferred
• Proficient in payer portals, EMR systems, and Microsoft Office