Insurance Authorization Specialist - Remote

Overview

The Insurance Authorization Specialist is responsible for securing insurance authorizations for medical services to ensure timely patient care and accurate reimbursement. This role works under the guidance of the Manager/Supervisor and Team Lead of Financial Clearance, contributing to the team’s overall goals in prior authorization accuracy, turnaround time, and financial risk mitigation.

In Short

• NO WEEKENDS, NO EVENINGS, NO HOLIDAYS
• Competitive pay with PTO, Holiday pay, and comprehensive benefits package
• Initiate and track insurance prior authorizations for medical services
• Verify insurance eligibility and benefits
• Document authorization statuses in EMR and PM systems
• Work closely with management on urgent authorization cases
• Participate in training and feedback sessions
• Communicate with insurance carriers for documentation
• Inform patients about authorization status and potential delays
• Coordinate with patient estimation staff for pre-service collections

Requirements

• High School Diploma or equivalent required
• 1 year of experience in medical office or healthcare billing
• Comprehensive understanding of insurance verification and medical terminology
• Ability to follow policies and maintain data integrity
• Professional verbal and written communication skills
• Excellent organizational skills and attention to detail
• Strong analytical and problem-solving skills
• Detail-oriented and able to manage multiple authorizations

Benefits

• Health, dental, and vision insurance
• Life and pet insurance
• Health savings account
• Paid sick time, time off, and holidays
• Profit sharing and retirement plan