Authorization Specialist

About the Job:

An Authorization Specialist is an advocate on behalf of patients and facilities to obtain approval with authorizations and referrals for different healthcare services. Review and convey clinical documentation to insurance to obtain medical necessity authorizations to assist in obtaining maximum services for the patient and provider.

What You'll Do:

• Ensures to work timely on the daily authorization requests of the providers and facilities
• Initiates auth requests through different insurance portals and by calling insurances
• Obtains and follow up status of authorization
• Advocates with various insurance companies for authorizations in various levels of care
• Coordinating with providers on documentation, medical need and authorizations
• Responds to inquiries from insurance companies and document accordingly and communicate with providers
• Must be able to read and identify medical records
• ...