Authorization Specialist
Socket
Job Title: Authorization Specialist We are seeking a detail-oriented Authorization Specialist to join our team. The ideal candidate will be responsible for managing the authorization process for medical services, ensuring compliance with regulations, and facilitating communication between healthcare providers and insurance companies. This role is crucial in ensuring that patients receive timely and appropriate care. Key Responsibilities: Review and process authorization requests for medical services and procedures. Communicate with healthcare providers, insurance companies, and patients to gather necessary information. Ensure compliance with all relevant regulations and policies regarding authorizations. Maintain accurate records of authorization requests and outcomes in the system. Follow up on pending authorizations and resolve any issues that may arise. Provide support and guidance to healthcare providers regarding authorization requirements. Stay updated on changes in insurance policies and regulations affecting authorizations. Requirements Skills and Qualifications: High school diploma or equivalent; additional education in healthcare administration or a related field is a plus. Previous experience in a healthcare setting, particularly in authorization or billing, is preferred. Strong attention to detail and organizational skills. Excellent communication and interpersonal skills. Proficient in using electronic health record (EHR) systems and Microsoft Office Suite. Ability to work independently and as part of a team. Knowledge of medical terminology and insurance processes is an advantage. Requires regular and predictable attendance #J-18808-Ljbffr
$19.8 - $31.25 per hour
Prior Authorization Specialist II Pharmacy Services CFHP Community First Health Plans TPA DCHP PHM POPULATION HEALTH MGM Full Time Day Shift Salary Range: $19.80 - $31.25 POSITION SUMMARY/RESPONSIBILITIES Prepares pharmacy prior authorization requests for review by nurse...SuggestedFull timeWork at officeDay shift$84.3k - $155.4k
...Recruiting for this role ends on 09/01/2026. Work you'll do As a Specialist Lead, Procurement and Category Management on the GPS Contracts... ...the clients and industries/sectors you serve.Must be legally authorized to work in the United States without the need for employer...SuggestedContract workWork experience placement$84.3k - $155.4k
...Recruiting for this role ends on 09/01/2026.Work you'll doAs a Specialist, Government Client Contracts Management on the Government &... ...the clients and industries/sectors you serve.Must be legally authorized to work in the United States without the need for employer sponsorship...SuggestedContract workFor contractors$88.6k - $163.1k
...Recruiting for this role ends on 08/01/2026. Work you'll do As a Specialist Lead, Business Development Intelligence and Enablement on the... ...the clients and industries/sectors you serve.Must be legally authorized to work in the United States without the need for employer...SuggestedShift work- ...future as we are, join our team.KPMG is currently seeking a Lead Specialist level I, Business Product Management to join our Digital Nexus... ...driven by customer service and teamworkApplicants must be authorized to work in the U.S. without the need for employment-based visa...SuggestedH1bLocal area
$17 - $22 per hour
...PRIOR AUTHORIZATIONS COORDINATOR SAN ANTONIO TX 78258 Currently hiring an experienced Prior Authorizations Coordinator looking for a full-time opportunity? Join a prestigious clinic in the Stone Oak area of San Antonio dedicated to providing exceptional patient...Weekly payFull timeTemporary workCurrently hiringWork at officeMonday to Friday- ...Job Description Job Description Seeking immediate hire to join our Business Office as an Authorization Specialist in a high-profile Sports Medicine Group supporting 15 physicians and 6 clinic locations. DUTIES INCLUDE, BUT ARE NOT LIMITED TO:Interpret insurance benefits...Full timeTemporary workImmediate startMonday to FridayDay shift
- ...About the Job: Cybersecurity Specialist - NSTP 3 This is not just a training program, its a full-time job. The NukuDo Specialist... ...a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An...Permanent employmentFull timeFor contractorsTraineeshipWork at officeRelocation
- ...pediatric healthcare agency in San Antonio is seeking a full-time Supporting Documentation Specialist to join a dedicated customer service team. The role involves obtaining prior authorizations, maintaining patient records, and ensuring compliance with regulatory requirements....Full time
- ASSOCIATE SPECIALIST - SPECIALIST - Contracts 72-00716 Who We Are: The Contracts Department is responsible for leading 'cradle-to-grave... ...contracts. Submit requests for contract amendments and other authorizations as-needed throughout the life of the contract. Set up...Contract workWork at office
- ...purpose of this position is: Serve as an experienced intelligence specialist engaging in the complex technical collection and reporting of... ...areas of responsibility. DUTY 5: Serves as a functional authority on ISR issues. Makes recommendations and defends decisions on...Part timeWork experience placementWork at office
- ...As a member of the revenue cycle team, the Referral Authorization Coordinator will work with various stakeholders to assist with the execution and finalization of referrals and authorizations. Referral Authorization Coordinator Job Description: Utilizes a...Work at office
- ...Children's Rehabilitation Institute TeletonUSA is seeking a Billing Authorization Specialist to manage daily authorization and referral submissions. You will verify insurance benefits, communicate with patients about coverage and costs, and maintain compliant reports....Work at office
- ...associated with patient, confirming the correct payor and plan is entered into the patient accounting system Obtain insurance authorizations as required by individual insurance plans where applicable Maximize the efficiency and accuracy of the collection process by pursuing...
- ...Duties Serves as a multi-source intelligence collection specialist working complex collections and operations assignments. Situations... ...the assigned areas of responsibility. Serves as a functional authority on ISR issues. Makes recommendations and defends decisions on...
- ...plans associated with patient, confirming the correct payor and plan is entered into the patient accounting systemObtain insurance authorizations as required by individual insurance plans, documenting authorization numbers in the appropriate fields for accurate...
- ...geographic territory. The primary focus of the Patient Access Specialist is to leverage strategic insights within targeted... ...Information (PHI) to support the benefits investigation and prior authorization processes for neuroscience products and administration/observationProvide...Local areaFlexible hoursNight shift
- ...support services, drug manufacturer program assistance, prior authorizations, procurement, and other tasks. Requires ability to work... ...external healthcare providers. The Senior Pharmacy Technician Specialist mentors more junior pharmacy technicians, effectively utilizes...
$23.77 - $24.1 per hour
...Treasury Specialist Department: Treasury Management Role Type: Individual Contributor Why This Role Matters The Treasury Specialist helps... ...depending on the role. Applicants must be currently authorized to work in the United States on a full-time basis. Credit Human...Hourly payFull timeWork at officeMonday to Friday- ...EHS SpecialistThe EHS Specialist will drive the day-to-day implementation and continuous improvement of Environmental, Health and Safety... ...with scientists, leadership, contractors, and regulatory authorities.Strong written and verbal communication skills.Ability to work...For contractorsLocal area
$45.36k - $62.37k
...HomeCare Order Management Specialist (Finance) Thank you for your interest in joining Solventum. Solventum is a new healthcare company... ...include occasional domestic travel. Relocation Assistance: Not authorized. Must be legally authorized to work in the country of employment...H1bWork at officeRemote workRelocation packageFlexible hours- ...and building quality relationships The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient... ...into the patient accounting system Obtain insurance authorizations as required by individual insurance plans where applicable...ReliefNight shift
- ...Patient Access Specialist You are an expert facilitator: you open doors, foster communication, and bridge the gap. In this role... ...Information (PHI) to support the benefits investigation and prior authorization processes for neuroscience products and administration/...Local areaFlexible hoursNight shift
- ...our country deserve the utmost respect. As a Mortuary Affairs Specialist in the Army National Guard, you will give fallen Soldiers the... ...return of personal effects. They coordinate with non-U.S. authorities concerning disposition of enemy, allied, or civilian remains,...Part timeWeekend work
$2,953.25 - $4,365.66 per month
...job classifications; Eligibility Advisor, Medical Eligibility Specialist, and Hospital Based Worker that establish eligibility for different... ...into a computer-based eligibility system. Compute and authorize benefits based on eligibility determination. Process work in accordance...Full timeTemporary workPart timeWork at officeRemote workMonday to FridayShift work- ...The Housing Assistance Specialist performs clerical and technical work of routine difficulty processing the required forms and documentation... .... Manages financial accounts for other Public Housing Authorities (PHAs) when billing for participants who port to/from Opportunity...Contract workInterim roleWork at officeLocal area
- ...opportunity. K2 Group is seeking a Law Enforcement Assessment Specialist in support of Headquarters, Installation Management Command (IMCOM... ...aid agreements, providing data-driven compliance findings. Author comprehensive technical reports, executive briefings, and Corrective...Temporary work
- ...Continuous Improvement Specialist Join our growing team and see why Summit Utilities, Inc was named as one of the Fastest Growing Denver... ...execution discipline Facilitation and influence without authority Ability to translate improvement into sustained behavior...Work experience placementRemote workWork from home
- ...General Summary: The Referral Specialist focuses on the internal GMG referral processes, obtaining authorization from health plans and other UM entities for referrals, obtains LCD/NCD (Local and National Coverage Determination) from Medical Coverage Database and communicating...Work at officeLocal area
- ...Intermediate to accurately collect and record patient information, assist with registration, verify insurance coverage, and obtain pre-authorizations as needed. You will be the first point of contact, guiding patients through the enrollment process with professionalism....
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