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