Insurance Authorization Specialist
Description: • The Insurance Authorization Specialist is responsible for securing insurance authorizations for medical services to ensure timely patient care and accurate reimbursement. • Work closely with the Manager/Supervisor and Team Lead of Financial Clearance to escalate urgent or complex authorization cases. • Initiate and track insurance prior authorizations for scheduled procedures, imaging, and other medical services. • Verify insurance eligibility and benefits using payer portals or through direct contact with payers. • Ensure all authorizations are obtained prior to the scheduled date of service to avoid delays or denials. • Communicate with insurance carriers to gather necessary clinical documentation and follow up on pending requests. • Support team objectives and contribute to departmental huddles and workflow optimization initiatives. Requirements: • High School Diploma or equivalent required • Associate’s degree in healthcare administration, billing, or related field preferred • Minimum 1 year of experience in medical office, insurance verification, or healthcare billing • Comprehensive understanding of insurance verification, contract benefits and medical terminology • Ability to follow policies and procedures and enter data into various electronic systems while maintaining the integrity and accuracy of the data • Proficient in payer portals, EMR systems, and Microsoft Office • Excellent organizational skills and attention to detail • Excellent customer service skills • Strong analytical and problem-solving skills • Able to work effectively under supervision and in a collaborative, team-oriented environment Benefits: • Health insurance • Dental insurance • Vision insurance • Life Insurance • Pet Insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan Apply tot his job