Medical Authorizations Specialist

This is a fully remote position, open to applicants in South Africa.

📋 Description

• Assess patient information and identify insurance authorization requirements.

• Submit authorization requests to insurance companies and relevant payers.

• Follow up with insurance providers on pending authorization requests.

• Monitor the status of authorizations and ensure requests are processed within the necessary timelines.

• Track authorizations that are approved, pending, denied, and expired.

• Acquire authorization numbers and accurately document authorization details.

• Identify any missing or incorrect information that could postpone authorization.

• Communicate with insurance providers to address authorization-related inquiries.

• Escalate denied or complicated authorization issues as needed.

• Ensure that authorizations are secured prior to the provision of services, when applicable.

• Maintain precise and current authorization records.

• Update internal systems and spreadsheets with pertinent authorization information.

• Ensure that supporting documentation is submitted accurately.

• Monitor expiration dates of authorizations and initiate renewals as necessary.

• Keep organized records of submissions, approvals, denials, and follow-ups.

• Communicate authorization information and updates to relevant internal teams.

• Collaborate with internal clinical, administrative, and billing teams.

• Proactively identify outstanding items and ensure their resolution.

⛳️ Requirements

• Prior hands-on experience with insurance authorizations is essential.

• Background in a healthcare, medical, or insurance setting.

• Strong comprehension of the insurance authorization process.

• Exceptional verbal and written communication skills.

• High attention to detail and precision.

• Excellent organizational and time-management abilities.

• Capability to handle multiple authorization requests and deadlines concurrently.

• Strong follow-through and proactive pursuit of outstanding requests.

• Proficient in working with spreadsheets, online systems, and healthcare software.

• Strong computer skills and quick adaptability to new systems.

• Ability to work independently while adhering to established processes.

• Professional management of confidential patient and insurance information.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and growth.

• Supportive work environment with a focus on team collaboration.