Medical Authorizations Specialist

Position:Medical Authorizations Specialist

Working Hours:US Hours (9am-5pm EST)

Full-Time, Remote Work.

We are looking for a detail-oriented and experienced Medical Authorization Specialist to manage the insurance authorization process and ensure services are properly authorised and documented.

The successful candidate will be responsible for verifying authorization requirements, submitting authorization requests, following up with insurance providers, monitoring authorization status, and maintaining accurate records.

• Review patient information and determine insurance authorization requirements.
• Submit authorization requests to insurance companies and relevant payers.
• Follow up with insurance providers regarding pending authorization requests.
• Monitor authorization status and ensure requests are processed within required timelines.
• Track approved, pending, denied, and expired authorizations.
• Obtain authorization numbers and accurately record authorization details.
• Identify missing or incorrect information that may delay authorization.
• Communicate with insurance providers to resolve authorization-related queries.
• Escalate denied or complex authorization issues when required.
• Ensure authorizations are obtained before services are provided, where applicable.
• Maintain accurate and up-to-date authorization records.
• Update internal systems and spreadsheets with authorization information.
• Ensure all supporting documentation is submitted correctly.
• Monitor authorization expiration dates and initiate renewals when required.
• Keep organised records of submissions, approvals, denials, and follow-ups.
• Ensure authorization information is communicated to the relevant internal teams.
• Communicate professionally with insurance providers regarding authorization requests.
• Follow up consistently on outstanding authorization requests.
• Liaise with internal clinical, administrative, and billing teams as required.
• Clearly communicate authorization updates, requirements, and issues.
• Proactively identify outstanding items and ensure they are resolved.

• Previous hands-on experience working with insurance authorizations is required.
• Experience with in a healthcare, medical, or insurance environment.
• Strong understanding of the insurance authorization process.
• Excellent verbal and written communication skills.
• Strong attention to detail and accuracy.
• Excellent organisational and time-management skills.
• Ability to manage multiple authorization requests and deadlines simultaneously.
• Strong follow-through and ability to proactively chase outstanding requests.
• Comfortable working with spreadsheets, online systems, and healthcare software.
• Strong computer skills and ability to learn new systems quickly.
• Ability to work independently while following established processes.
• Professional handling of confidential patient and insurance information.