Insurance Authorization Specialist

Insurance Authorization Specialist Job Description Template

Our company is looking for a Insurance Authorization Specialist to join our team.

Responsibilities:

  • Coordinate completion of prior authorization, if needed;
  • Obtaining detailed benefits for ordered test;
  • Verifying patient’s insurance eligibility;
  • Submit requested medical documentation to insurance companies;
  • Troubleshoot authorization related issues in the Practice Management System;
  • Work with insurance plans to pre-authorize and re-authorization of patient services;
  • Maintain contact management regarding status of authorization and any additional documentation or information needed;
  • Verification of eligibility and benefits;
  • Other duties as assigned (e.g., quarterly reporting);
  • Enter current authorizations into the Practice Management System;
  • Respond to internal/external inquiries relating to authorizations;
  • Follow up on insurance authorizations.

Requirements:

  • Excellent written and verbal communication skills;
  • Excellent interpersonal skills;
  • Health insurance or behavior healthcare experience preferred;
  • At least 1 year of previous experience in insurance verification and authorizations required;
  • Knowledge of CPT, HCPCS, ICD-10 codes a plus;
  • Proven customer service skills;
  • Excellent interpersonal, written and oral communications skills required;
  • Ability to work in a professional and confidential capacity;
  • Exceptional attention to detail;
  • Ability to work with sensitive or confidential information;
  • Able to work in a fast paced and high volume environment;
  • Excellent analytical skills required;
  • Basic proficiency with Microsoft Word/Excel;
  • Prior pre-authorization and authorization knowledge/experience;
  • Knowledge of Behavioral Health preferred.