Authorization Specialist Associate

Job Summary

A company is looking for an Authorization Specialist Associate to manage prior authorizations for medical procedures and ensure insurance coverage.

Key Responsibilities

• Obtain prior authorizations and verify insurance coverage for scheduled procedures and admissions
• Coordinate communication between providers, nurses, and office staff regarding peer reviews and denials
• Conduct follow-up activities on accounts and assist with billing and insurance-related issues

Required Qualifications

• High School Diploma or Equivalent (GED) required
• Minimum of 2 years of related work experience required
• Ability to work with various departments to resolve financial and insurance concerns
• Experience in precertification and understanding of insurance processes
• Knowledge of billing and coding changes for claim resolution preferred