"Alerted.org

Authorization Specialist

Job Summary

We are seeking a detail-oriented and experienced Authorization Specialist to join our team at our Newburgh, NY location. The ideal candidate will have expertise in the prior authorization processes and will be responsible for obtaining necessary approvals from insurance providers to ensure timely and accurate patient care services.

Key Responsibilities

+ Obtain prior authorizations from insurance companies for medical procedures, treatments, and services.

+ Review and verify patient insurance information and eligibility.

+ Communicate effectively with healthcare providers, insurance companies, and patients to facilitate authorization processes.

+ Maintain accurate records of all authorization requests and approvals.

+ Follow up on pending authorizations to ensure timely responses.

+ Resolve any issues or denials related to prior authorizations.

+ Stay updated on insurance policies, procedures, and regulations.

+ Other clerical duties as assigned

Required Skills

+ Proven experience as a Prior Authorization Specialist.

+ Strong knowledge of insurance authorization processes and terminology.

+ Excellent communication and interpersonal skills.

+ Detail-oriented with strong organizational abilities.

+ Ability to work independently and as part of a team.

+ Proficient in using electronic medical records (EMR) and authorization software.

Qualifications

+ High school diploma or equivalent; additional certification in medical billing or healthcare administration is a plus.

+ (1) Year experience working in a healthcare or medical office environment.