insurance authorization coordinator

Neurology of the Rockies

<p>Neurology of the Rockies is looking to add an Insurance Authorization Coordinator to our growing team! Ideal candidate will be very detail oriented with excellent organizational and documentation skills.</p><p>This position is full time. We offer competitive pay. Our full-time employees are offered medical, vision and dental insurance, 4% matching 401k and paid time off. We promote healthy work/life balance with annual company sponsored team building events.</p><p>Duties include but not limited to:</p><ul><li>Obtaining authorization for specialty medication</li><li>Ordering medication through specialty pharmacies</li><li>Tracking inventory of medication supply</li><li>Verifying insurance benefits and eligibility</li><li>Discussing patient financial responsibility and collecting monies owed</li><li>Scheduling appointments</li></ul><p>If this sounds like it may be a good fit, please submit your resume with salary requirements.</p><p>We look forward to meeting with you!</p><p>Pay: $18.00 - $23.00 per hour</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Medical Office Insurance Authorization Coordinator

MD Pain

<p><b>JOB DESCRIPTION</b></p><p><b>Title:</b> Authorization Specialist Representative</p><p><b>JOB SUMMARY</b></p><p>The authorization position is responsible for all authorizations in relation to services provided by MD Pain providers.</p><p><b>ESSENTIAL FUNCTIONS</b></p><ul><li>Determine if authorization is required for ordered services.</li><li>Reviews procedure requests for authorization needed based upon insurance standards while drawing upon experience and general knowledge. Reviews documentation or contacts the provider when necessary to supplement the order to prove medical necessity.</li><li>Ensures appropriate documentation is available and complete before submitting the authorization to the insurance company to avoid repetitious submissions and denials.</li><li>Submits all authorizations with correct CPT and diagnosis codes.</li><li>Cross-references the procedure tasked against the doctor&rsquo;s orders to ensure all services are submitted for correctly.</li><li>Enters any authorization numbers and expiration dates into the task messages which are required for corresponding services.</li><li>Additional duties as assigned.</li></ul><p><b>REQUIREMENTS</b></p><p><b>Education &amp; Experience, Knowledge/Understanding</b></p><ul><li>High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience</li></ul><p><b>Skills </b></p><ul><li>Excellent oral, written, and listening communication skills.</li><li>Effective organization and time management skills with the ability to manage multiple task simultaneously and work in high-pressure situations</li><li>Excellent interpersonal skills and demeanor</li><li>Proficient in the use of a PC; in a Windows environment; in the use of the Internet; and in the use of MS Office Applications such as Outlook, Word and Excel</li><li>Proficient in the use of EMR systems such as Aprima</li></ul><p><b>Abilities</b></p><ul><li>Ability to adhere to strict attendance and punctually expectations</li><li>Ability to attend to details ensuring accuracy in a timely manner</li><li>Ability to work both independently, as well as collaboratively</li><li>Ability to identify and proactively solve problems</li><li>Ability to thrive in a patient-focused environment</li><li>Ability to demonstrate MD Pain&rsquo;s core values and performance principles of leadership, integrity, kindness, excellence, and service</li></ul><p><b>Physical Demands</b></p><ul><li>Occasionally required to stand, walk, sit, use hands and fingers, talk and hear</li><li>Occasionally lift and/or move up to 25 pounds</li><li>Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus</li><li>The noise level of the work environment is usually moderate</li></ul><p><b>PREFERENCES</b></p><ul><li>Previous experience in medical professional atmosphere</li><li>Proficient with government and private insurance</li><li>Knowledge of medical and insurance terminology, EMR</li></ul><p>Job Type: Full-time</p><p>Pay: From $23.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Willingness to travel:</p><ul><li>25% (Preferred)</li></ul><p>Work Location: In person</p>

Surgery Scheduler/ Medical Prior Authorization Specialist

Southwest Autism Research & Resource Center

<div><div><b>Authorization Specialist</b></div>
<div><b>On-site</b><br>
<b>Phoenix, AZ</b><br>
<br>
 At SARRC, we are dedicated to advancing research and providing support for individuals with autism and their families. We are looking for a detail-oriented Authorization Specialist who thrives on precision and plays a critical role in ensuring our clients receive the services they need through seamless funding management.<br>
</div><div>As an Authorization Specialist, you are the bridge between clinical services and sustainable funding. Your expertise in insurance landscapes ensures that every client&rsquo;s record is accurate, every authorization is secured, and every billing hurdle is proactively cleared.</div>
<div></div><div><b>Your Role at SARRC</b></div>
<div><ul><li><p><b>Authorization Management:</b> Obtain initial authorizations, manage reauthorizations, and handle necessary adjustments to ensure continuous care for our clients. Verifies, monitors, and assist with insurance verification as needed to ensure payment for services.</p>
</li><li><p><b>Funding Advocacy:</b> Navigate complex insurance landscapes and provide essential support in managing and resolving claim denials.</p>
</li><li><p><b>Quality Assurance:</b> Identify errors in funding documentation and implement corrections to maintain the highest standards of record accuracy.</p>
</li><li><p><b>Data Integrity:</b> Ensure all client funding information is documented accurately and within required timelines to prevent billing delays.</p><br>
</li></ul></div><div></div><div><b>Skills You Bring</b></div>
<div><ul><li><p><b>Expert Knowledge of Funding Sources:</b> Deep understanding of insurance providers, clinical funding requirements, and the authorization lifecycle.</p>
</li><li><p><b>Analytical Precision:</b> A &quot;hawk-eye&quot; for detail with the ability to spot discrepancies in complex data and rectify them quickly.</p>
</li><li><p><b>Proactive Problem Solving:</b> The ability to troubleshoot denials and navigate the nuances of insurance appeals and adjustments.</p>
</li><li><p><b>Organization &amp; Timing:</b> Exceptional time-management skills to meet strict deadlines for reauthorizations and documentation.</p><br>
</li></ul></div><div><br>
<b>Qualifications</b></div>
<ul><li>High School diploma or GED</li>
<li>Minimum of two years of experience in a medical billing environment within a medically specialized enterprise.</li>
<li>Knowledge of insurance guidelines; including Medicare, HMO, PPO, Behavioral Health carve-outs, Arizona Medicaid (AHCCCS) and EAP services.</li>
<li>Knowledge of CPT, ICD-10, HCPCS coding.</li>
</ul><div><b>Preferred Qualifications</b></div>
<ul><li>Associates Degree preferred (years of experience may be considered).</li>
<li>Knowledge of diagnostic testing, medical terminology, and Behavior Analytic treatment for individuals with Autism Spectrum Disorder.</li>
<li>Knowledge of ABA CPT codes is preferred.
</li></ul><div><br>
<b>Salary</b></div>
<div>Starts at $20/hr</div>
<div></div><div><b>Hours</b></div>
<div>Full-time</div>
<div></div><div><div><b>Robust Benefits Package</b></div>
<ul><li>Up to 16 days per year paid time off and 8 paid holidays</li>
<li>Medical, dental and vision insurance (majority of coverage paid for by SARRC)</li>
<li>401(k) with 50% company match up to 6%</li>
<li>Internal job growth opportunities</li>
<li>Professional development annual benefit of $1000<br>
</li></ul><div><b>Who We Are:</b> Established in 1997, the Southwest Autism Research &amp; Resource Center (SARRC) is an internationally recognized nonprofit organization dedicated to autism research, education, evidence-based treatment, and community outreach. We are one of the only autism organizations in the world that provides a lifetime of services for individuals and their families while also conducting cutting edge research.</div></div></div>

Authorization Specialist

Urology Centers of Alabama

<div><p><b>General Summary</b></p><p>
The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment.
</p><p></p><p><b>Key Responsibilities
</b></p><ul><li><p>Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.
</p></li><li><p>Review patient charts to obtain relevant clinical documentation needed to support authorization requests
</p></li><li><p>Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.
</p></li><li><p>Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.
</p></li><li><p>Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary.
</p></li><li><p>Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.
</p></li><li><p>Ensure all prior authorization submissions and supporting documentation accurately reflect the patient&rsquo;s medical record and comply with payer requirements.
</p></li></ul><p><b>Physical Demands</b></p><p>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><p>
</p><p>While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 45 pounds.
</p><ul><li><p>Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests.
</p></li><li><p>Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.
</p></li><li><p>Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.
</p></li><li><p>Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.
</p></li></ul><ul><li><p>Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.
</p></li><li><p>HS Diploma or GED required.</p></li></ul></div>

Prior Authorization

Blanchard Valley Health System

<div><p><b>PURPOSE OF THIS POSITION</b></p><p>
The primary purpose of this position is to plan and coordinate the authorization functions for BVHS patients. Act as a liaison between the physicians, facilities, patients and professional billing companies. Coordinates information between patients, their insurance companies, and the facilities at which the patient is being served. Responsible for accurately entering patient data and interpreting insurance verification and coverage for patients.</p><p><b>
JOB DUTIES/RESPONSIBILITIES</b></p><ul>
<li>
Duty 1: Ability to process patient authorizations in a timely manner with accurate data.</li>
<li>Duty 2: Ability to use current EHR system and all insurance verification and authorization tools, identifies and confirms active insurance coverage and required authorizations for outpatient and inpatient services. Ability to discover/provide clinical data in the EHR or from the ordering provider to support authorization needs.</li>
<li>Duty 3: Ability to effectively communicate with insurance and governmental agencies in order to have complete and accurate procedure authorizations and approvals.</li>
<li>Duty 4: Ability to professionally communicate to all patients and office staff, and meet age specific requirements for handling their requests.</li>
<li>Duty 5: Continue to stay informed of any statute and/or regulation that could affect Authorization requirements.</li>
<li>Duty 6: Work through the retro auth request lists, working with denials, and have the ability to timely address order/rad changes that may affect an authorization.</li>
<li>Duty 7: Acts as a liaison between the facility, patient/family and ordering provider to resolve problems and/or address complaints.</li>
<li>Duty 8: Participates in a variety of unit and hospital educational programs to maintain current skills and competency levels. Participates in and fully supports new hire and other department training and shadowing. Provides a positive learning environment and compassionate mentoring.</li>
<li>Duty 9: Has ability to problem solve and offers assistance as needed to all customer groups.</li>
<li>Duty 10: Performs all duties and responsibilities in a manner consistent with and supportive of the mission and value statement of Blanchard Valley Health System.</li>
</ul><p><b>
REQUIRED QUALIFICATIONS</b></p><ul>
<li>
High school graduate or GED equivalent</li>
<li>Data entry and/or PC experience required</li>
<li>Medical terminology coursework or knowledge required</li>
<li>BWC, VA, Medicare, Medicaid and commercial healthcare insurance knowledge</li>
<li>Positive service-oriented interpersonal and communication skills required</li>
<li>Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient&rsquo;s requirements relative to their age-specific needs and to provide the care needed as described in the area&rsquo;s policies and procedures.</li>
</ul><p><b>
PREFERRED QUALIFICATIONS</b></p><ul>
<li>
Some related college preferred</li>
<li>Insurance verification and authorization submission/verification experience preferred</li>
<li>Knowledge of current EHR and insurance verification/authorization software</li>
<li>Ability to meet remote work requirements.</li>
</ul><p><b>
PHYSICAL DEMANDS</b></p><p>
This position requires a full range of body motion with intermittent walking, lifting, bending, climbing, squatting, kneeling, twisting, sitting and standing. The associate must be able to lift 20-30 pounds or more. The individual must have excellent eye-hand coordination with the ability to grasp, push and pull, have fine fingers dexterity and manipulation. The associate must be able to reach work above the shoulders. This position requires corrected vision and hearing in the normal range. The associate must have excellent verbal skills to communicate with patients, physicians, and co-workers.</p><p><b>
This position is classified &ldquo;at risk&rdquo; for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)</b></p></div>
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</div><div></div><div><h3 class="jobSectionHeader"><b>Job Snapshot</b></h3>
<div><h4 class="jobSectionHeader"><b>Employee Type</b></h4>
Per Diem
</div><div><h4 class="jobSectionHeader"><b>Street Address</b></h4>
1900 South Main Street
</div><div><h4 class="jobSectionHeader"><b>Location Map</b></h4>
</div><div><h4 class="jobSectionHeader"><b>Date Posted</b></h4>
03/10/2026
</div><div><h4 class="jobSectionHeader"><b>Job ID</b></h4>
19726
</div><div><h4 class="jobSectionHeader"><b>Shift</b></h4>
1st</div></div></div>

Patient Access Authorization Specialist (PRN)

IGarner System

<p><b>Urgent Hiring: AR Executives (Authorization)</b></p><p><b>Cyber System</b> is expanding its team and is looking for <b>5 energetic and driven AR Executives</b> to handle authorization work for our healthcare clients. If you are a <b>Lahore resident</b> with strong communication and technical skills, we would love to hear from you!</p><p>Key Responsibilities</p><ul><li>Manage and process <b>insurance authorizations</b> accurately and in a timely manner.</li><li>Communicate effectively with <b>healthcare providers and insurance companies</b>.</li><li>Maintain detailed records using <b>MS Excel</b> and internal systems.</li><li>Utilize <b>modern AI tools</b> to streamline workflow and improve efficiency.</li></ul><p>Requirements</p><ul><li><b>Location:</b> Must be a resident of Lahore.</li><li><b>Education:</b> Minimum <b>Bachelor&rsquo;s degree (Graduation completed)</b>.</li><li><b>Communication:</b> Excellent <b>spoken English</b> skills.</li><li><b>Technical Skills:</b></li><li>Strong command of <b>MS Office</b>, especially <b>advanced Excel</b>.</li><li>Familiarity with <b>AI tools</b> is a plus.</li><li><b>Personal Traits:</b> Energetic, proactive, and a <b>quick learner</b>.</li></ul><p>How to Apply</p><p>Interested candidates who meet the above criteria are encouraged to apply immediately.</p><p><b>Email:</b> placemet@xybersystem.com<br/><b>WhatsApp/Contact:</b> 0371-0722262</p><p>Job Type: Full-time</p><p>Pay: Rs50,000.00 - Rs70,000.00 per month</p><p>Work Location: In person</p>

AR Executive (Authorization)

CHRISTUS Health

<div><b>Description</b><p><br>
Summary:</p>
<p>Processes and enters billing information into database. Completes billing process and distributes billing information. Verifies insurance benefits and assists with referrals. May prepare checks and cash for deposits. Monitors accounts receivable to maintain appropriate levels and reviews payments to maximize reimbursement. Interacts with patients, insurance carriers, the Billing Department and practice associates concerning patient accounts. Performs all functions in a courteous and professional manner. Assures all appropriate licensure, certifications and/or accreditations are secured according to policy to include all credentialing issues related to the service.</p>
<p>Responsibilities:</p>
<ul><li>Coordinates all Insurance Authorizations for the service.</li><li>
Verifies and updates necessary information; enters patient demographics and insurance information into the computer.</li><li>
Review tickets for accuracy and completeness, determine appropriate fees for services rendered, calculate totals, collect appropriate amount from patients, properly record information. Responsible for posting hospital charges or other satellite services. Utilizes correct ICD9, CPT and HCPCS coding methods to determine the proper code for the services rendered.</li><li>
Processes payments received in person and by mail. Records, totals and prepares monies for deposit according to procedure.</li><li>
Handles collection efforts for all outstanding accounts including patient calls and sending correspondence. Takes necessary steps to establish acceptable payment schedules or refer appropriate accounts to collection agency.</li><li>
May post over-the-counter payments to accounts (or NSF checks) for outstanding balances, including discounts, adjustments and write-offs.</li><li>
Follows up to determine if payment arrangements are being met, contacts patients to resolve problems, responds to correspondence or telephone calls from patients about accounts.</li><li>
Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals.</li><li>
Reviews all Explanations of Benefits (EOBs) and initiates collection procedures for those with zero payments.</li><li>
Maintains NSF checks to ensure the applicable account is added back to accounts receivable, in accordance with NSF policies and procedures.</li><li>
Generates various reports necessary to manage accounts receivable, including denial reports, insurance follow up reports, NSF reports and month end reports.</li><li>
Educates staff on corrections, e.g. front-end entry errors in a positive, constructive manner.</li><li>
Identifies problem accounts and follows through to completion.</li><li>
Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues or payer trends to supervisor.</li><li>
Reviews credit balance reports for correct recipient of refund.</li><li>
Resolves patient billing complaints and questions, initiates adjustments as necessary.</li><li>
Helps fiscal management and other administrative staff in implementing cost effective policies and procedures for all areas including billing, insurance, fee schedules, credit/collections, purchasing, and data processing.</li><li>
Gathers and reports monthly and annual data for fiscal, statistical and planning purposes.</li><li>
Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).</li><li>
Maintains strict confidentiality.</li><li>
Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Health Mission.</li><li>
Maintains established policies, procedures, objectives, quality assurance, safety, environmental and infection control.</li><li>
Implements job responsibilities in a manner that is consistent with the CHRISTUS Health Mission and Values.</li><li>
Performs other related work as required.</li></ul>
<p>Requirements:</p>
<p>Education/Skills</p>
<ul><li>High school diploma or GED</li></ul>
<p>Experience</p>
<ul><li>2 years experience in physician practice</li><li>
3 years accounts receivable experience</li><li>
Knowledge of billing and coding</li></ul>
<p>Licenses, Registrations, or Certifications</p>
<ul><li>N/A</li></ul>
<p>Work Schedule:</p><br>
<p>8AM - 5PM Monday-Friday</p>
<p><b>Work Type:
</b></p><p>Full Time</p></div><p></p>

Billing Representative - Business Office

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