Pre-Service Authorization Specialist

Job Summary

To ensure financial clearance for healthcare services, the full-time Pre-Service Authorization Specialist will complete pre-authorizations, verify insurance information, and manage communication with healthcare providers and insurance carriers in a remote setting.

Key responsibilities:

• Secure pre-authorizations from insurance companies for various healthcare services
• Review medical records and documentation for accurate submission of authorization requests
• Communicate effectively with providers and patients to facilitate authorization decisions

Required qualifications:

• Minimum two years of experience in pre-authorization, referral coordination, or insurance billing in 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 is preferred