Admissions and Authorization Specialist

Paycom - ATS; Plymouth (NH); On-site; USD 46,000 - 62,000; Full time

Job summary

Speare Memorial Hospital is seeking an Admissions & Authorization Specialist to support our Patient Access team. You will review services for authorization needs, submit NOAs, and manage prior authorizations to minimize financial risk while ensuring timely patient access.

You will verify demographics, insurance, and obtain necessary signatures, while maintaining HIPAA compliance and high-quality customer service in a fast-paced environment.

Qualifications

• High School Diploma required.
• 1-2 years healthcare experience required.
• Knowledge of insurance authorization workflows.
• Attention to detail and accuracy.
• Strong communication and organizational skills.

Responsibilities

• Review scheduled services to determine authorization requirements based on payer guidelines.
• Submit timely Notice of Admission (NOA) to CMS and private payers within the required 24-48 hour regulatory window to avoid reimbursement penalties.
• Initiate and complete prior authorizations via payer portals, phone, or fax.
• Obtain and verify required clinical documentation to support medical necessity for both authorization forms and NOA submissions.
• Track and follow up on authorization and NOA status to prevent delays, denials, or “untimely filing” reductions.
• Communicate authorization outcomes and NOA-related issues to clinical and billing departments.
• Greet and direct patients and visitors appropriately; Register patients for hospital services; Verify demographic and insurance information; Obtain required patient signatures and provide IM/NOMNC where applicable.

Skills

Attention to detail

Healthcare experience

Communication

Organizational skills

Multitasking

EMR systems

Payer portals

Independent work

Education

High School Diploma

Tools

Meditech

Job description

Job Title: Admissions & Authorization SpecialistWe're seeking a detail-oriented and efficient Admissions & Authorization Specialist to join our Patient Access team. In this role, you'll play a crucial part in facilitating financial reimbursement and minimizing the organization’s financial risk. Your work will directly support our mission by helping us operate efficiently and sustainably.About Speare Memorial HospitalSpeare Memorial Hospital is a 25-bed critical access hospital serving dozens of communities in the Lakes Region. We are passionately committed to providing exceptional, local care to our friends, families, neighbors, and communities at large.Mission: To work together to serve the needs of our patients and community.Vision: A community where all can achieve optimal health.Values: Kindness, Collaboration, Patient & Family-Centered, Safety, Excellence, Efficiency, and Professionalism.What You’ll Do:Authorization & NOA Responsibilities:Review scheduled services to determine authorization requirements based on payer guidelinesSubmit timely Notice of Admission (NOA) to CMS and private payers within the required 24-48 hour regulatory window to avoid reimbursement penaltiesInitiate and complete prior authorizations via payer portals, phone, or faxObtain and verify required clinical documentation to support medical necessity for both authorization forms and NOA submissionsTrack and follow up on authorization and NOA status to prevent delays, denials, or “untimely filing” reductionsCommunicate authorization outcomes and NOA-related issues to clinical and billing departmentsPatient Access/Registrar Backup Responsibilities:Greet and direct patients and visitors appropriatelyRegister patients for hospital servicesVerify demographic and insurance informationPerform real-time insurance eligibility verificationObtain required patient signatures and provide “Important Message from Medicare” (IM) or “Notice of Medicare Non-Coverage” (NOMNC) where applicableGeneral ResponsibilitiesMaintain patient confidentiality and HIPAA complianceParticipate in training and continuing educationSupport revenue cycle process improvementsDemonstrate strong customer service and professionalismWhat We’re Looking For:Required:High School Diploma1-2 years healthcare experience requiredKnowledge of insurance authorization workflowsAttention to detail and accuracyStrong communication and organizational skillsAbility to multitask in a fast-paced environmentProficiency in EMR systems and payer portalsAbility to work independently and escalate appropriatelyPreferred:Associate’s DegreePrior authorization Notice of Admission filing, and Meditech experience highly preferredWhy Join Speare Memorial Hospital?Community Connection: Be part of an organization deeply invested in local health and wellness.Collaborative Culture: Work alongside dedicated professionals who genuinely care about their work and each other.Professional Growth: Opportunities for continuing education and career development.Comprehensive Benefits:Competitive salaryHealth, dental and vision insuranceHealth savings accounts with employer contributions403(b) retirement plans with generous employer contributionsLifestyle Savings Account reimbursement programTuition Assistance and Student Loan Repayment programsEmployee recognition and appreciation programsGenerous Earned Time accrualShort-Term & Long-Term DisabilityLife insuranceOur CommitmentSpeare Memorial Hospital is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that a diverse workforce strengthens our ability to serve our equally diverse community.Join us in our mission to provide compassionate, high-quality healthcare to our community.