Senior Insurance Authorization Specialist [Remote]

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Insurance Authorization Specialist in the United States.

This role plays a key part in ensuring patients receive timely access to care by managing and coordinating insurance authorization and verification processes in a fast-paced healthcare environment. You will act as a subject matter expert, supporting peers while maintaining accuracy, compliance, and high-quality service standards across all authorization activities. Working remotely within a collaborative team, you will interface with insurance providers, physicians, and internal stakeholders to resolve complex authorization requirements. The position combines operational execution with mentoring responsibilities, making it ideal for experienced revenue cycle professionals. You will help optimize workflows, identify process gaps, and contribute to continuous improvement initiatives. This is a mission-driven environment where precision and patient impact are at the center of daily work.

Accountabilities

In this role, you will be responsible for supporting and strengthening insurance authorization and verification operations while ensuring compliance with healthcare regulations and internal standards. You will also assist in guiding team performance and resolving escalated issues.

• Perform accurate insurance authorization and verification for scheduled patient services, ensuring eligibility and coverage compliance
• Submit and track authorization requests based on payer requirements and clinical documentation
• Act as a liaison between physicians, insurance companies, and internal teams to resolve authorization issues
• Support junior specialists by answering questions, providing guidance, and assisting with training and onboarding
• Assist supervisors with workload distribution, escalation management, and identification of system or process issues
• Maintain high standards of accuracy, productivity, and customer service quality in all case handling activities

Requirements

The ideal candidate brings experience in healthcare revenue cycle operations, strong attention to detail, and the ability to navigate payer requirements efficiently. You are comfortable working independently while supporting team success in a structured yet evolving environment.

• 1–3 years of experience in insurance authorization, verification, or revenue cycle operations
• High School Diploma or GED required; Associate degree preferred
• Experience with physician-administered medications, infusions, injections, or genetic testing authorizations is a plus
• Strong understanding of insurance processes, payer rules, and healthcare documentation requirements
• Excellent communication skills with the ability to engage physicians, insurers, and internal teams
• Strong problem-solving skills, attention to detail, and ability to manage multiple priorities in a remote setting
• Willingness to obtain Certified Revenue Cycle Representative (CRCR) certification within 9 months (company-sponsored)
• Openness to learning and using new tools and technologies, including AI-enabled workflows

Benefits

• Competitive hourly compensation starting at $18.65/hr, based on experience
• Comprehensive medical, dental, and vision insurance
• Paid time off, holidays, and retirement savings plan
• Employee assistance and well-being programs
• Paid training and professional certification support (including CRCR certification)
• Tuition reimbursement and career development opportunities
• Recognition programs and performance-based incentives
• Flexible remote work arrangement with potential occasional onsite requirements as needed

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.