Authorization Specialist

A company is looking for an Authorization Specialist I to manage medical necessity approvals and insurance verification for patient services.

Key Responsibilities

Review medical charts and physician orders to determine appropriate coding and medical necessity

Submit and manage authorization requests while ensuring compliance with payer guidelines

Facilitate denial mitigation steps and collaborate with stakeholders to minimize financial risk

Required Qualifications

A.A. / A.S. in business, healthcare, or related area, or 3 years of revenue cycle experience in lieu of a degree

1 year of experience in revenue cycle, insurance verification, or related fields using an EHR system

Knowledge of insurance terminology, plan types, and approval processes

Familiarity with computer systems, including Microsoft Office 365