Insurance Authorization Specialist II - Remote

Overview

The Insurance Authorization Specialist II is responsible for obtaining authorizations for elective procedures, services, and tests to financially clear patients prior to services being rendered, ensuring compliance and minimizing organizational write-offs.

In Short

• Obtain authorizations for elective procedures.
• Utilize payor resources for accurate prior authorization.
• Review clinical documentation for completeness.
• Contact insurance companies to determine eligibility.
• Ensure accurate coding of diagnoses and procedures.
• Follow up on submitted authorization requests.
• Assist with denial management issues.
• Maintain compliance with departmental standards.
• Work collaboratively with internal and external contacts.
• Participate in team meetings and maintain confidentiality.

Requirements

• High school graduate or equivalent with 2 years of experience in a medical environment.
• Associate’s degree with 1 year of experience preferred.
• 3 years of knowledge in medical terminology, ICD-10, and CPT codes.
• Understanding of authorization processes and insurance guidelines.
• Proficiency in Microsoft Office applications.
• Excellent communication and interpersonal skills.
• Ability to prioritize and multitask efficiently.
• Basic computer skills.

Benefits

• Competitive salary.
• Comprehensive health benefits.
• Retirement plans.
• Opportunities for professional development.
• Supportive work environment.
• Flexible work schedule.
• Employee wellness programs.
• Paid time off.