AUTHORIZATION SPECIALIST

CHC Solutions; Pittsburgh (Allegheny County); On-site; USD 38,000 - 60,000; Full time

Benefits offered by this job

Competitive salary

Generous paid time off

Health, dental and vision insurance

Life, AD&D and long-term disability

Job summary

CHC Solutions, Inc. is seeking an Insurance Authorization Specialist to join our Pittsburgh, PA office, focusing on verifying insurance coverage for medical supplies and processing precertifications.

You will handle eligibility checks, data entry into patient accounts, and communication of financial responsibilities while ensuring compliance with policies and regulations in a fast-paced team environment.

Qualifications

• Insurance experience in health care and customer service is preferred.
• Strong typing and computer skills including Word, Excel and Outlook.
• Excellent verbal and written communication abilities.

Responsibilities

• Verify insurance eligibility using established methods.
• Enter insurance, patient ID and eligibility details into accounts.
• Obtain physician records to support medical need for the product.
• Prepare and submit precertification/authorization requests.
• Manage open authorizations per established procedures.
• Communicate patient financial responsibilities.
• Update patients and referrals on order progress and delays.
• Document all correspondence in the patient account using the standard note format.
• Upload medical documents to patient accounts.
• Follow CHC Solutions policies and procedures.

Skills

Insurance experience

Customer service

Typing

Tools

Word

Excel

Outlook

Job description

Job Details

Job Location: INDUSTRY - Pittsburgh, PA 15275

CHC Solutions, Inc. is currently seeking a passionate Insurance Authorization Specialist to join our team in the Pittsburgh, PA (Robinson Township) office.

Who We Are

CHC Solutions, Inc. provides medical supplies to patients with a focus on outstanding customer service. We are headquartered near Pittsburgh, PA and have multiple locations throughout the Eastern United States.

We receive an order from doctors and their staff, verify the products are covered by the patient’s insurance, the supplies are shipped to them, and we bill their insurance.

Everything we do is about improving the patient experience. Caring is the difference.

Your Responsibilities

As an Insurance Authorization Specialist, you will join a dedicated team focused on ensuring patients prescribed medical supplies are covered by their insurance.

• Verify insurance eligibility using our established methods.
• Accurately enter insurance, patient ID and eligibility details into patient accounts.
• Obtain clinical documentation, including physician records, to support medical need for the product.
• Prepare and submit precertification/authorization requests per insurance requirements.
• Manage open and pending authorizations by following established procedures.
• Communicate patient financial responsibilities.
• Update patients and referrals on order progress and delays.
• Document all correspondence with patients, families, providers or insurers in the patient account using the standard note format.
• Upload medical documents to patient accounts.
• Follow all CHC Solutions policies, procedures and protocols.
• Comply with all government regulations and professional standards for patient care.
• Maintain a positive, empathetic and professional attitude with customers at all times.
• Provide product education upon patient request.
• Engage in continuous education to stay current on the products dispensed by the company.
• Report incidents or complaints to your supervisor and complete the required documentation.

What You Bring

• Possess experience with insurance and customer service in the health care industry (preferred)
• Strong typing and computer skills, including Word, Excel and Outlook
• Exceptional verbal and written communication abilities
• Demonstrated expertise in time management, organization, multitasking, prioritization and follow-through in dynamic environments
• Comfortable and effective working in fast-paced settings
• Capable of working independently while contributing positively to a collaborative team

Our Benefits

• Competitive salary
• Generous paid time off (for full-time employees)
• Health, dental and vision insurance.
• Life, AD&D and long-term disability coverage.
• Opportunities to grow your skills and advance your career in health care.
• An inclusive workplace. CHC Solutions, Inc. is an Equal Opportunity Employer.

Apply Today

Ready to make a difference? Apply now and join a team that cares.