Authorization Specialist

We’re excited to welcome a new Authorization Specialist to our team! In this role, you’ll play a key part in creating a positive patient experience by ensuring timely access to care. You’ll work closely with clinical and administrative teams to verify patient eligibility, initiate prior authorizations, and navigate insurance requirements. This position involves using online tools, reviewing medical records, communicating with insurance providers, and managing authorizations within our electronic medical record system—making a meaningful impact behind the scenes every day.

• Check patient eligibility and insurance plan benefits via online payer portals and confirming with insurance companies
• Scan complete authorization form in EMR system
• Review medical records
• Initiate authorizations using online resources, insurance specific forms, and making outgoing calls to insurance companies
• Follow department procedures to ensure timely completion of benefit investigations
• Communicate with internal patient financial services department, clinical staff and external practice managers when inaccurate demographic information is supplied
• Review and update authorization information in the EMR system
• Support and actively participate in initiatives designed to improve individual and organizational performance
• Coordinate with clinical staff to set up peer to peer meetings for physicians and insurance medical directors
• Assist patients with insurance denials and appeals
• Performs other duties/special projects and tasks as assigned

• Able to read, interpret, and implement specified records.
• Knowledge of Medical and Diagnosis codes (CPT/DX)
• Demonstrated knowledge of medical terminology and office procedures.
• Demonstrated knowledge of third-party and insurance company operating procedures, regulations and billing requirements.
• Experience with Microsoft Office suite and Electronic Medical Record (EMR) system.
• Ability to effectively establish and maintain cooperative and effective working relationships
• Effectively prioritize competing responsibilities, with a sensitivity toward matters which are time sensitive.
• Exercise a high level of discretion and sensitivity to patient privacy.
• Ability to recognize, evaluate, solve problems and correct errors.
• Ability to use telephone, keyboard, computer, office equipment and software programs.

• High School diploma or equivalent required
• 1-3 years’ work experience in a healthcare environment required
• Bilingual / Spanish speaking preferred

Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee-only healthcare coverage option is also available.

Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.

Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.

Pletnty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!

Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.

Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.

Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.

Rewards for Connections: Earn extra money with our Employee Referral Program
—your network is invaluable!

Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.

Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.

Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with Support Linc, you'll have access to emotional well-being and work-life resources whenever you need them.

Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.