Pre-Access Authorization Specialist

Job Summary

To ensure patient financial health, the full-time remote Pre-Access Authorization Specialist will verify insurance eligibility, secure prior authorizations, and manage authorization-related denials.

Key responsibilities

• Confirms and updates required demographic data for patients and guarantors
• Verifies insurance eligibility and benefits, following up on appeals and denials as needed
• Contacts patients/providers regarding unsecured authorizations prior to scheduled services

Required qualifications

• High School Diploma or equivalent, or 4 years of revenue cycle experience
• Minimum of 2 years of insurance authorization experience
• Knowledge of revenue cycle processes
• Familiarity with medical terminology and coding
• Technical proficiency in relevant software and systems