We are seeking a detail-oriented and experienced Authorization Specialist to support the prior authorization process in a healthcare setting. This role is responsible for coordinating insurance approvals, verifying patient coverage, and ensuring timely access to medications and healthcare services while maintaining high standards of customer service and compliance.
Key responsibilities include initiating prior authorizations via fax, insurance portals, and third-party systems; following up with insurance providers regarding authorization status and approvals; submitting required clinical documentation; verifying patient insurance eligibility, benefits, and coverage; collecting and entering patient demographic and financial information into systems; maintaining thorough and accurate documentation; utilizing electronic medical records (EMR), registration systems, and verification tools; demonstrating knowledge of healthcare regulations, insurance processes, and reimbursement practices; communicating effectively with patients, providers, clinics, insurance representatives, and internal teams; supporting departmental goals related to productivity, quality, and customer service; ensuring compliance with federal, state, and organizational policies and procedures; participating in meetings, training sessions, and performing additional duties as assigned.
Required qualifications include an Associate’s Degree with minimum 2 years of relevant healthcare experience or a High School Diploma/GED with minimum 4 years of relevant healthcare experience. Minimum 2 years in healthcare environment such as hospital, physician practice, surgery center, or health plan; at least 1 year of prior authorization experience with a healthcare provider or insurance company; experience with insurance verification, hospital registration, or healthcare data processing; strong knowledge of medical terminology, CPT codes, and diagnosis coding; proficiency in Microsoft Office Suite.
Core competencies include excellent communication and customer service skills, strong organizational and multitasking abilities, high attention to detail and accuracy, ability to work independently, strong problem-solving and follow-up skills, and handling sensitive patient information with confidentiality and professionalism.
Physical requirements: ability to sit or stand for extended periods, repetitive use of hands and fingers for computer work, occasional lifting up to 20 pounds.
Contact: vgill@navitassols.com or 516-862-1203.
About Navitas Healthcare, LLC: a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals, offering competitive pay with upfront salary discussions.
Associate’s Degree with minimum 2 years of relevant healthcare experience OR High School Diploma/GED with minimum 4 years of relevant healthcare experience. Minimum 2 years of healthcare experience (hospital, physician practice, surgery center, or health plan). At least 1 year prior authorization experience with a healthcare provider or insurance company. Experience with insurance verification, hospital registration, or healthcare data processing. Strong knowledge of medical terminology, CPT codes, and diagnosis coding. Proficiency in Microsoft Office Suite. Excellent communication and customer service skills. Strong organizational and multitasking abilities. High attention to detail and accuracy. Ability to work independently. Strong problem-solving skills. Ability to handle sensitive patient information confidentially.
Competitive pay. Opportunity to work in a growing healthcare staffing firm. Productive and quality-focused work environment. Professional training and development opportunities.
Location
New York, US
Employment Type
Contractor
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago