Insurance Authorization Specialist

Accountabilities Manage insurance authorization workflows from initial request through final approval, ensuring timely and accurate processing.

Verify insurance eligibility, benefits, authorization requirements, and medical necessity criteria before services are provided.

Prepare and submit complete authorization requests with required clinical documentation and supporting information.

Monitor pending authorizations, communicate with payers, and proactively follow up to prevent delays in service delivery.

Track authorization expiration dates and coordinate renewals to avoid interruptions in care.

Review approved units, service dates, authorization numbers, and payer information to ensure accurate system records.

Partner with revenue cycle teams to resolve authorization-related billing issues and minimize preventable denials.

Identify authorization trends, recurring challenges, and opportunities to improve processes and reimbursement outcomes.

Maintain accurate documentation within electronic health record systems and payer portals while ensuring compliance with healthcare privacy requirements.

Collaborate with clinical, scheduling, credentialing, and administrative teams to communicate authorization status and required actions.

Support audits and maintain high standards of documentation accuracy and regulatory compliance.

Requirements

High school diploma or equivalent required; an Associate’s or Bachelor’s degree is preferred.

Minimum of 2 years of prior authorization experience within a healthcare environment.

Experience working with commercial insurance, Medicaid, managed care, or similar payer systems is preferred.

Familiarity with electronic health records, healthcare billing, and revenue cycle processes.

Strong understanding of medical terminology and insurance authorization procedures.

Proficiency with Microsoft Office applications and healthcare information systems.

Excellent organizational skills with the ability to manage multiple priorities, deadlines, and follow-up activities.

Strong attention to detail and commitment to accuracy in documentation and data entry.

Effective written and verbal communication skills with the ability to collaborate across multiple teams.

Strong problem-solving abilities and a proactive approach to resolving authorization issues.

Ability to work independently in a remote environment while maintaining productivity and accountability.

Benefits

Competitive hourly compensation ranging from $24–$30 per hour .

Fully remote work opportunity.

Opportunity to contribute to meaningful healthcare services and improve patient access to care.

Collaborative work environment with cross-functional healthcare teams.

Professional growth opportunities within healthcare operations and insurance authorization.

Supportive workplace focused on accuracy, compliance, and quality service delivery.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether? 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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