Authorization Specialist

Healing Partners; Maryland; Remote; USD 26,174 - 33,062; Part time

Job summary

A healthcare organization is seeking an Authorization Specialist to manage authorizations for billing procedures. The role involves verifying insurance details, attaching authorizations, and addressing claim denials. Candidates should have a high school diploma and at least one year of healthcare billing experience. Proficiency in Microsoft Office and a detail-oriented approach are essential. This position is fully remote and requires flexible communication skills.

Qualifications

• 1 year experience in a healthcare billing setting.
• Ability to type 45+ words per minute.
• Works well independently and in a team setting.

Responsibilities

• Verify patient’s insurance prior to authorizations.
• Attach authorization number to patient’s account.
• Follow up on required authorizations for billed claims.

Skills

Knowledge of insurance billing guidelines

Problem solving/analytical skills

Proficiency with Microsoft Office

Ability to multi-task

Effective communication

Education

High School Diploma or equivalent

Job description

Classification: Non-Exempt

Reports to: Revenue Cycle Manager

Date: June, 2024

Summary/Overview

The Authorization Specialist is responsible for obtaining, documenting, and attaching authorizations to encounters prior to billing for E&M’s and procedures. Reporting directly to the Revenue Cycle Manager, the Authorization Specialist will assist with revenue and billing operations within their scope.

Primary Duties and Responsibilities

• Verify patient’s insurance is accurate prior to investigating authorizations.
• Verify patient’s if authorization is needed for services.
• Attach authorization number to the patient’s account, unbilled claims and rebill claims where the number was missing from the initial claim.
• Follow up on required authorizations for billed claims that can be back dated.
• Work denials related to missing authorization to determine if the insurance needs to be added to the authorization list or if claim is still viable for payment.
• Reach out to facilities if authorization for our services can be covered by the facility’s authorization number.

Education & Experience

• High School Diploma or equivalent
• 1 year experience in a healthcare billing setting

Qualifications

• Knowledge of insurance billing guidelines
• Prior experience with authorization and tools to obtain (ex. Insurance portals)
• Detail oriented, problem solver/analytical, flexible, and self‑motivated
• Proficiency with Microsoft (Outlook, Office Word, and Excel)
• Organized, ability to multi‑task in a fast‑paced environment
• Works well independently and in a team setting
• Ability to type 45+ words per minute

Physical Requirements

• Talk, hear, and communicate with people over the telephone;
• Use hands and fingers to operate a computer and telephone;
• View computer screens for extended periods of time;
• Sit at a desk for extended periods of time; and
• Regular, predictable attendance.

Work Location Requirements

• The job duties and functions for this position are performed 100% remotely.

Classification: Non-Exempt

Schedule: Day Shift, Monday-Friday

Pay Range: $19-24.00/hour

Healing Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.