Authorization Specialist - Hybrid Remote

Overview

The Authorization Specialist II will work in a hybrid remote capacity to obtain surgical prior authorizations for services performed by St Peter's Health Partners physicians, ensuring compliance with insurance policies and medical guidelines.

In Short

• Full-time position with hybrid remote flexibility.
• Responsible for obtaining and tracking surgical prior authorizations.
• Work closely with insurance companies and healthcare providers.
• Review and troubleshoot authorization denials.
• Maintain expertise on authorization requirements by payer.
• Confirm insurance verification for patients.
• Utilize Microsoft Office for documentation and reporting.
• Communicate effectively with clinical staff and patients.
• Adhere to HIPAA laws and guidelines.
• Contribute to a diverse and inclusive work environment.

Requirements

• Associate degree preferred.
• 3+ years of experience in healthcare.
• Prior authorization experience desirable.
• Knowledge of ICD-9 and ICD-10 coding.
• Strong analytical and communication skills.
• Experience with EPIC or similar EMR systems preferred.
• Ability to handle multiple priorities in a deadline-driven environment.
• Demonstrated customer service experience.
• Attention to detail and accuracy.
• Medical office experience preferred.

Benefits

• Competitive pay based on experience.
• Hybrid remote work options.
• Diversity and inclusion initiatives.
• Access to extensive healthcare resources.
• Opportunities for professional growth.
• Supportive work environment.
• Participation in community benefit programs.
• Comprehensive benefits package.
• Commitment to employee well-being.
• Recognition of individual contributions.