Authorizations Specialist
ReWorks Solutions
Position: ABA/ Healthcare Authorizations Specialist Location: Fully Remote – South Africa Working Hours: Monday to Friday, 9:00 AM – 5:00 PM EST Holiday Structure: 6 US public holidays + 6 additional days Salary: R 26,500–30,000 About the Opportunity We're looking for a highly organised, reliable and exceptionally detail-oriented ABA Authorizations Specialist to join a growing healthcare team. In this role, you'll be responsible for supporting the authorisation process for healthcare services, ensuring that information is accurately submitted, tracked and followed up on with insurance providers. This position requires someone who takes pride in accuracy, enjoys structured and repetitive administrative tasks, and can manage important responsibilities consistently without needing constant supervision. Previous ABA experience is not required. However, a background in medical billing, insurance authorisations or healthcare administration would be advantageous. Above all, we're looking for someone dependable, proactive and committed, with excellent communication skills and the ability to pick up new processes quickly. Requirements Key Responsibilities Assist with submitting and managing authorisation requests for ABA services. Ensure all patient and provider information is captured accurately, including dates, Tax ID numbers and NPI numbers. Review documentation and authorisation requests for accuracy and completeness. Follow up with insurance companies regarding pending authorisations and outstanding information. Communicate professionally with insurance representatives over the phone and through written correspondence. Monitor authorisation statuses and maintain accurate records and tracking systems. Follow up on outstanding requests to help prevent delays in service approvals. Identify missing or incorrect information and take the necessary steps to resolve discrepancies. Assist with drafting appeal letters when required. Maintain consistent follow-through to ensure time-sensitive authorisation tasks are completed. Work independently while keeping the wider team informed of outstanding matters. Requirements & Essential Skills Previous experience in medical billing, insurance authorisations or healthcare administration would be advantageous, but is not essential. Exceptional attention to detail and accuracy, particularly when working with dates, Tax ID numbers and NPI numbers. Strong organisational skills and the ability to manage repetitive, detail-heavy tasks. Excellent written and verbal English communication skills. Confident telephone manner and strong phone skills for insurance follow-ups. Ability to learn new systems and processes quickly and apply instructions independently. Strong administrative and data-capturing skills. Reliable, consistent attendance and a strong sense of accountability. Ability to manage time-sensitive tasks and follow through without constant supervision. Professional, hardworking and committed approach to responsibilities. Advantageous Experience Medical billing experience. Prior authorisation or insurance verification experience. Experience working with healthcare providers, insurance companies or medical practices. Familiarity with ABA therapy or behavioural health services. Knowledge of NPI numbers, Tax ID numbers and healthcare provider information. Experience drafting insurance appeal letters. #J-18808-Ljbffr ReWorks Solutions
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...leading provider of low-barrier evidence-based treatment for opioid use disorder. We are looking for a Prescription Prior Authorization Specialist to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that are suffering...SuggestedTemporary workWork at officeRemote work- ...CredSpun LLC is seeking a remote Prior Authorization Specialist to manage the end-to-end process of prior authorizations for behavioral health services. You will determine which services require authorization, submit documentation, and monitor follow-ups to ensure timely...SuggestedRemote work
- ...We here at Licensed Behavior Analyst Professional Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption. Your work directly enables our therapists and BCBAs to serve children and...SuggestedHourly pay
- ...Diverse Lynx LLC is seeking a detail-oriented Prior Authorization Specialist to support provider enablement activities in a remote, work-from-home environment. The role focuses on pre-authorization processes and administrative support in healthcare operations. Ideal candidates...Full timeRemote workWork from homeShift workWeekend work
- ...University of Utah Health seeks a primarily remote role to secure outpatient accounts through insurance verification and prior authorization. You will work with physicians, nurses, and financial advocates to resolve authorization issues and ensure access to care. Responsibilities...Remote work
- ...Job Description The HMO Authorization Specialist is an essential component of the certified agency team. The HMO Authorization Specialist is responsible for requesting authorization for home care services for patients with HMO/Managed Care payment sources and acts...Local area
- Elevate Patient Financial Solutions is seeking a Scheduling and Authorization Coordinator for a remote position. The role involves coordinating imaging scheduling, obtaining authorizations, and communicating with patients, physicians, and hospital staff to ensure smooth...Remote job
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- ...Ascertain is hiring a Prior Authorization Assistant to support our AI-powered authorization workflow across multiple healthcare specialties. You will manually process high-volume authorizations while guiding automated submissions and collaborating with leadership and product...
$25.42 - $30.97 per hour
...POSITION SUMMARY: Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management... ...and redirects, as needed. The Prior Authorization Specialist role belongs to the Revenue Cycle Patient Access team and is...Full timeContract workWork at officeImmediate startRemote workFlexible hours$21 - $27 per hour
...reimagine what is possible for independent cardiology. About The Job We're seeking an experienced, detail-oriented Prior-Authorization Specialist to join our team at CardioOne. You will be responsible for obtaining and verifying prior authorizations within the appropriate...Hourly payFull timeWork at officeRemote work- ...Prior Authorization Specialist — Remote Medical Office File prior authorizations, chase each one to a decision, and track visit counts and expiry dates so care isn't delivered without approval. An authorization that was never filed, or lapsed partway through a course...Work at officeRemote work
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...empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. Responsibilities The Authorization Representative will need to cover authorizations for all services (CT, MRI, echo, surgery, minor procedures, heart monitor, PFTs...Hourly payRemote work$22 - $26 per hour
...role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5:30...Remote workMonday to FridayShift work- Lumicera Health Services, powered by Navitus, is expanding its Prior Authorization team and seeks a Specialist III to support and lead daily operations. This role focuses on effective task assignment, complex problem solving, and coaching to ensure patient and provider...
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Authorization Specialist II #Full Time #Remote The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors...Remote jobHourly payFull timeWork at officeLocal areaImmediate start$23.27 - $28.3 per hour
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Company Description Resolve MCN is a small, growing company that provides prior authorizations and concurrent review support for skilled nursing facilities (SNFs). Resolve focuses on identifying opportunities for higher reimbursement, extending length of stay when appropriate...Full timeWork at officeRemote workHome office- The Cigna Group is seeking a remote call center specialist to respond to phone and fax inquiries and facilitate prior authorization requests. Applicants should have 1+ year of call center customer service experience, solid communication and organizational skills, and be...Remote job
- Process referrals and prior authorizations, ensuring accurate, timely documentation. Monitor denials, manage referrals, and communicate decisions to providers and patients. Who You Are: Bring 1-3 years of medical insurance knowledge and medical terminology skills. Proficient...Remote jobWork at office
$50k - $70k
...technology, come be a part of our great team! *Fully Remote Position* ABOUT THIS POSITION We are recruiting for a Prior Authorization Specialist to join our team. In this role, you will be providing expertise in the area of prior authorization and will be responsible...Work experience placementWork at officeLocal areaRemote workFlexible hours$20 - $24 per hour
Pre-Authorization Specialist | Englewood, CO Reporting to Manager, Revenue Cycle Operations Employment Type: Full Time This role is 100% in-office, but may be considered for hybrid schedule based upon performance metrics. Summary of Position: The Prior Authorization...Hourly payFull timeTemporary workPart timeWork at office- Boston Medical Center is seeking a Part-Time, remote Prior Authorization Specialist I to support Insurance Verification and financial clearance. You will handle pre-registration, verify eligibility, obtain referrals and precertifications, and coordinate with providers...Remote jobPart time
- TAG MedStaffing is hiring a Medical Authorization Specialist in Queens, NY for our client. The role focuses on insurance authorizations, referrals, verification, and patient services, supporting medical office administration. This in-office position requires attention...Work at office
- ...orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of that success. We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and...Contract work
- ...billing medical insurance. About the position We are currently looking for an Independent Contractor to join us as a Prior Authorization Specialist. This position is responsible for coordinating and obtaining prior authorizations from insurance companies to help ensure...Full timeFor contractorsWork at officeRemote workFlexible hours
- OOS Management Corp. is looking for a meticulous Authorizations Specialist in New York City. You will be responsible for submitting and tracking prior authorization requests to insurance companies, helping our therapists and BCBAs serve families effectively. The ideal candidate...
$18.92 - $23.46 per hour
...carrier. Professional development and growth opportunities. Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Minimize turnaround time...Full timeContract workTemporary workLocal areaImmediate startRemote workFlexible hours
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