Authorization Specialist

Job Summary

A company is looking for an Authorization Specialist to manage insurance authorization processes and claims.

Key Responsibilities

• Submit prior authorization requests to insurance payers and track their status for timely approvals
• Research denied claims and collaborate with internal teams to gather necessary documentation
• Ensure compliance with payer-specific authorization guidelines and HIPAA regulations

Required Qualifications and Education

• At least 2 years of experience in Medical Billing or a healthcare setting
• Strong understanding of healthcare claims and plan benefits
• Knowledge of CMS 1500 forms and coding policies
• Ability to adapt in a fast-paced environment with changing priorities
• Highly organized and process-driven with a collaborative mindset