Insurance Authorization Specialist

Insurance Authorization Specialist (Single Case Agreements & Prior Authorization)

We're hiring a full-time remote Care Coordinator to focus exclusively on Single Case Agreements (SCAs) and Prior Authorizations (PAs). This is a highly specialized, execution-driven role responsible for ensuring patients can access care by navigating payer requirements quickly, accurately, and persistently.

You will spend the majority of your day working directly with insurance payers, submitting and tracking prior authorizations, negotiating single case agreements, and ensuring all required documentation is complete and compliant. Your work will directly determine how quickly patients can begin care.

This role sits at the intersection of operations, payer strategy, and patient access. It is ideal for someone who is detail-oriented, highly organized, and experienced in working with U.S. healthcare payers.

Experience in at least one of the following is absolutely mandatory:

• Single Case Agreements (SCAs)
• Prior Authorizations (PAs)

Responsibilities include:

1. Own end-to-end execution of Single Case Agreements (SCAs) with insurance payers
2. Submit, track, and follow up on Prior Authorizations (PAs) to ensure timely approvals
3. Communicate with insurance companies to resolve issues and move cases forward
4. Gather and organize clinical documentation required for submissions
5. Maintain accurate records across internal systems (e.g., EHR, CRM)
6. Identify and escalate delays, denials, or payer issues proactively
7. Partner with internal teams (clinical, intake, billing) to ensure seamless patient access to care
8. Continuously improve workflows to increase speed and approval rates

Why join Sailor Health?

• Mission with impact. Help bring life-changing care to a population that's too often overlooked.
• Remote-first team. Enjoy the flexibility of remote work while staying closely connected with a thoughtful, collaborative team rooted in purpose.
• Growth and ownership. Be part of a small, agile team where you'll take initiative, shape key processes, and grow as we grow.
• Make someone's day – every day. Your work helps older adults and their families feel seen, supported, and cared for.
• If this sounds like you, we'd love to connect. Join us in redefining what it means to age with dignity, connection, and mental wellness.