The Authorization Specialist is a key revenue cycle role responsible for obtaining and reauthorizing authorizations for procedures, surgeries, and medications/injectables. The position requires frequent follow-up and correspondence with hospitals, surgery centers, providers, patients, and insurance carriers.
This role may be performed from home and/or in a typical office environment. It involves documenting communications accurately, maintaining productivity standards, and supporting payment collection processes.
Requirements & Qualifications
Qualifications
- High school diploma or GED required
- 3 to 5 years of healthcare experience, preferably in billing or clinical settings
- Previous medical billing experience with knowledge of billing-related reporting
- Experience working with medical payers and vision insurance
- Strong knowledge of medical terminology and general medical office procedures
- Understanding of HIPAA regulations
- Working knowledge of medical billing systems; NextGen experience is a plus
- Working knowledge of CPT and ICD-9/ICD-10 coding systems
- Must be authorized to work in the US
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago