Authorizations Specialist

We are seeking a detail-oriented and dependable Authorizations Specialist to join our healthcare management team. The ideal candidate will be responsible for obtaining, tracking, and verifying insurance authorizations for medical services, ensuring timely approvals and compliance with payer requirements. This role is critical to supporting patient access to care and ensuring accurate and efficient operations within our clinical and administrative teams.

Key Responsibilities:

• Review incoming service requests and determine if prior authorization is required based on insurance plan guidelines
• Submit accurate and complete authorization requests to insurance companies, including all necessary documentation
• Follow up with payers to ensure timely processing and communicate status updates to internal teams
• Maintain detailed records of authorization approvals, denials, and pending cases
• Coordinate with providers, clinicians, and patients...