Authorization Specialist

Insight Global; Red Bank (NJ); On-site; USD 55,000 - 75,000; Full time

Job summary

Insight Global is seeking a healthcare revenue cycle professional in New Jersey to support prior authorizations, insurance verification, and payer follow-up. The role emphasizes handling denials, referrals, and related workflows with accuracy and professionalism.

Experience with Availity or Navinet is preferred, along with strong medical terminology knowledge and detailed case management. This onsite role offers opportunities to collaborate with providers and internal teams.

Qualifications

• Experience with healthcare revenue cycle workflows including prior authorizations, insurance verification and denials management.
• Experience using insurance portals Availity and Navinet.
• Strong knowledge of medical terminology and general medical office procedures.
• Ability to communicate professionally with insurance representatives, providers and internal staff.

Responsibilities

• Perform prior authorizations and insurance verification.
• Follow up with payers for referrals, authorizations and denials.
• Support appeals, denials and medical documentation requests.
• Utilize Availity/Navinet portals to manage cases.
• Maintain accurate documentation and manage multiple pending cases.

Skills

Prior authorization experience

Insurance verification

Payer follow-up

Denials management

Medical terminology

Clear communication with insurers

Attention to detail

Tools

Availity

Navinet

Job description

Job Description

• 2+ years of experience in a healthcare environment. -Hands-on experience with prior authorizations, insurance verification, payer follow-up, referrals, denials, or related revenue cycle workflows. -Experience using insurance portals, ideally Availity and/or Navinet. -Strong understanding of medical terminology and general medical office procedures. -Ability to communicate professionally with insurance representatives, providers, physicians, surgical coordinators, and internal staff. -Strong attention to detail, organization, documentation accuracy, and ability to manage multiple pending cases at once.

Skills and Requirements

• Prior authorization experience within plastic surgery, radiology, or outpatient procedures.
• Experience working with out-of-network providers or gap exception requests.
• Experience supporting surgical or procedure-based authorization workflows.
• Familiarity with Blue Cross Blue Shield or other high-volume commercial payers.
• Experience supporting appeals, denials, peer-to-peer coordination, or medically necessary documentation requests.

The big 3:Detail orientedPersistent and resourcefulGritty

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [e-mail].