Authorization Specialist

This is a fully remote position, open to applicants in Connecticut, +6 more states.

📋 Description

• Secure and uphold prior authorization status for NELC patient medications and therapies.

• Collaborate closely with the clinical review department to gather necessary documentation for the authorization process.

• Collect required documentation to assist the billing department in fulfilling payer requirements for patient accounts.

⛳️ Requirements

• A minimum of three years of experience in authorization or billing.

• High School Diploma or equivalent is mandatory.

• At least 2 years of experience in authorization, reimbursement, or claims processing is required.

• Hands-on experience with medical terminology; familiarity with CPT, ICD-9, and HCPC coding is preferred.

• Experience with Medicare, Medicaid, and third-party payer contracts is preferred.

• Understanding of HIPAA Privacy and Security regulations is preferred.

• Strong organizational skills are essential.

• Basic accounting transaction and analysis skills are required.

• Proven ability to identify, research, and resolve issues is essential.

• Capability to work independently as well as collaboratively within a team is required.

• Experience with Microsoft Office applications, including Word and Excel, is necessary.

🏝️ Benefits

• Remote work opportunity.

• Opportunities for growth and potential career advancement.

• Health insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Generous employer-matched 403b retirement savings plan.

• Company-paid life insurance and short- and long-term disability insurance.

• Paid time off.

• And much more!