Insurance Authorization Specialist II

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

📋 Description

• Securing authorizations for elective procedures, services, and tests

• Coding cases and analyzing clinical documentation

• Identifying and escalating financial clearance risks as necessary

• Driving essential objectives of obtaining reimbursement and reducing organizational write-offs

• Ensuring prompt follow-up on submitted authorization requests

• Reviewing and interpreting medical record documentation throughout the authorization process

• Assisting with denial management issues and securing retro-authorizations when required

• Upholding compliance with departmental quality standards

⛳️ Requirements

• High school diploma or equivalent with 2 years of experience in a medical setting

• Associate’s degree and 1 year of relevant experience in a medical environment required

• 3 years of experience with knowledge and interpretation of medical terminology, ICD-10, and CPT codes

• Familiarity with authorization processes, insurance guidelines, and third-party payors

• Proficiency in Microsoft Office applications

• Exceptional communication and interpersonal skills

• Ability to prioritize tasks to meet deadlines and manage a large workload with high efficiency and attention to detail

• Basic computer skills

🏝️ Benefits

• Health insurance

• 401(k) matching

• Flexible work arrangements

• Opportunities for professional development