Insurance Authorization Specialist

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement 

• Comprehensive Benefits

• Career Advancement

• This position pays between $17.00 - $18.65/hr based on experience

The Insurance Authorization Specialist is responsible for performing insurance authorization for all patients scheduled for services. Insurance Authorization Specialist I will work within the policies and processes as they are being performed across the entire organization. 

Insurance Authorization Responsibilities include :  

• The Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety and working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment.

• Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval.

• Will be the liaison between the ordering physician and insurance company to ensure any and all requirements to secure approval are identified and communicated. 

Experience We Love: 

• Knowledge of appeals concepts and principles. 

• Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements. 

• Ability to use independent judgement and to manage and impart confidential information. 

• Ability to analyze. 

• Strong written communication and interpersonal skills. 

• Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation . 

• Knowledge of current and developing issues and trends in medical coding procedures requirements. 

• Ability to clearly communicate medical information to professional practitioners and/or the general public.

• Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements 

• Ability to provide guidance and training to professional and technical staff in area of expertise.

• Ability to flex work schedule on an as needed basis to meet the business needs. 

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Required Qualifications:  

• High school diploma or GED

• 2+ years of Insurance Authorization experience

Certification:

• Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid