Responsible for financially securing ambulatory, ancillary, surgical, and procedural services by obtaining referrals and authorizations, verifying insurance eligibility, interpreting benefits, and collecting patient financial responsibility before services are rendered.
Works in a high-volume, fast-paced patient engagement environment and uses eligibility and authorization portals, fax, and telephone to confirm coverage and secure approvals. Partners with patients, providers, and stakeholders to ensure compliant financial clearance and accurate scheduling for services.
Also supports onboarding of new team members after completion of The Academy and helps precept staff into the Authorization Specialist I role.
Qualifications
- Associate's degree required; bachelor's degree preferred
- 3–5 years of hospital, physician office, or call center experience preferred
- Strong knowledge of insurance benefits, authorization requirements, and complex scheduling
- Ability to interpret payer responses, referral orders, and contractual obligations
- Experience with insurance eligibility systems and authorization portals
- Strong customer service, communication, and critical thinking skills
- Ability to multitask in a high-pressure, high-volume environment
- Able to train, onboard, and precept team members
- CHAA certification required within 2 years of hire if not already obtained
Location
New York, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$50,639 - $75,959
Remote work allowed
No
Posted
3 weeks ago