Insurance Authorization Specialist

What You’ll Do

• Maintain authorization workflows to obtain routine, initial and reauthorizations; contact payer sources for outstanding authorizations, including fax authorization requests with necessary clinical documentation to obtain authorization; process authorization emails and/or kickbacks received from payer.

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  Schedule authorized visits to clinician’s caseload; communicate with caregiver and clinicians to provide updates as needed; ensure timely processing of discharge and managing clients’ holds in the organization’s healthcare software system.

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  Keep up to date with all payor requirements and procedural changes for each payer; process payer changes each month.

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  Prepare and fax authorization documentation to physician for signature; anticipate and facilitate orders needed for upcoming episodes to maintain continuation of care.

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  Participate in proactive team efforts to achieve departmental and company goals; comply with all safety policies, practices and procedures; other duties as assigned.

What You Bring

• High school diploma or GED
• 0–1 year of administrative experience preferred
• Strong communication, organization, and multitasking skills
• Proficiency in Microsoft Office

Why Join Us?

• Medical, dental, and vision insurance
• Paid time off
• 401(k)
• Tuition reimbursement
• Growth opportunities in a mission-driven organization

Physical Demands / Work Environment