Authorization Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Submit initial authorization requests to designated payers utilizing paper forms, printed documentation, fax, payer portals, or alternative methods.

• Follow up on requests to guarantee a prompt turnaround and approval.

• Comprehend payer requirements to secure approval.

• Escalate problematic accounts and ensure they are resolved.

• Maintain consistent communication with patients, insurance providers, physician offices, sales representatives, and other personnel.

• Submit authorization requests to insurance payers for Home Infusion Therapy.

• Oversee follow-up on pending authorizations.

• Review authorization approvals and denials for accuracy and initiate the appeal process as needed.

• Document calls, faxes, and email communications in CPR+ in accordance with department SOP.

• Keep records of both approved and denied authorizations in patients’ charts.

• Share insurance updates and correspondence with management and team members.

• Perform additional duties as assigned by the Intake Manager.

⛳️ Requirements

• High School Diploma or equivalent.

• Experience in a medical office, patient contact, and related fields.

• Proficiency in Microsoft Office Suite.

• Exceptional oral and written communication skills.

• A background in Medical Reimbursement is preferred.

• Experience with submission of authorizations.

• Ability to maintain strict confidentiality and comply with HIPAA guidelines and regulations.

• Knowledge of insurance plan requirements, medical terminology, government regulations, and coding.

• Capability to lift files, open filing cabinets, and bend or stand as necessary.

🏝️ Benefits

• Comprehensive Medical, Dental, and Vision Package.

• 401(k) Plan with Company Match.

• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays.

• Life Insurance: Standard coverage with optional enhancements.

• Employee Assistance Program: Free counseling and coaching sessions.

• Emotional Well-being and Work-Life Balance Resources.

• Short & Long-Term Disability: Company-paid with optional supplements.

• Accidental Death and Dismemberment Insurance.

• FSA and HSA: Manage healthcare expenses.

• Commuter Spending Programs.

• Volunteer and Engagement Opportunities.

• Employee Referral Bonuses.

• Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans.