Authorization Specialist

Job Summary

A company is looking for an Authorization Specialist (Remote in Wisconsin & Michigan).

Key Responsibilities

• Review patient medical records to determine the necessity of prior authorization for treatments and medications
• Verify patient eligibility and contact insurance companies to obtain necessary authorizations
• Manage the authorization process to minimize delays in patient care

Required Qualifications

• Two years' experience in a medical business office or healthcare setting with customer service or patient-facing responsibilities
• Basic understanding of medical terminology, disease processes, and treatment options
• Familiarity with different insurance plans and prior authorization guidelines
• Successful completion of post-secondary courses in Medical Terminology, Diagnosis and CPT Coding, and Anatomy & Physiology is preferred
• No specific certifications or licenses are required