Authorization Specialist

Westchester Medical Center; Town of Mount Pleasant (NY); On-site; USD 30,000 - 39,000; Full time

Benefits offered by this job

Health Insurance

Dental

Vision

Retirement Savings Plan

Flexible Savings Account

Paid Time Off

Holidays

Tuition Reimbursement

Job summary

NorthEast Provider Solutions Inc. is seeking an Authorization Specialist in Hawthorne, NY to verify insurance information and obtain authorization for inpatient admissions and specialized clinical procedures.

The role emphasizes timely processing to prevent delays and denials, while maintaining patient confidentiality. The position requires 2–3 years of clerical experience in a healthcare setting and a high school diploma or equivalent (associates degree preferred).

Qualifications

• Two to three years of clerical experience in health care field or related area required.
• High school diploma or equivalency required, Associates Degree preferred.

Responsibilities

• Enters and retrieves information from various automated systems and prepares specialized reports.
• Ensure completion of Medicare Physician Certification according to the regulatory timeline.
• Collects demographic and insurance data and enters accurately into specialized automated systems.
• Prepares, reviews for completion, and maintains required documents in accordance with established procedures, time frames and regulatory requirements.
• Makes contact to obtain missing information for incomplete forms.
• Advises patients and clinical staff of problems with insurance authorizations and resubmits requests with additional or revised information.
• Contacts insurance providers to confirm the level of benefits for inpatient admissions.
• Responds to customer inquiries and provides information.
• Serves as liaison between the physician's offices, patients, case management department and Patient Registration.
• Follows up with patients, physicians, clinical and ancillary departments to ensure optimum delivery of services.
• Communicates with case managers, hospital personnel, and external agencies to provide information or resolve discrepancies.

Skills

Clerical experience in health care

Education

High school diploma or equivalent

Associates degree preferred

Job description

Company: NorthEast Provider Solutions Inc.

City/State: Hawthorne, NY

Department: Genetics

Union: No

Position: Full Time

Hours: Mon-Fri 8-4:30

Shift: Day

Posted Date: Sep 10, 2026

Hiring Range: $22.25-$27.98

Job Summary:

The Authorization Specialist is responsible for performing complex clerical procedures related to verifying insurance information and obtaining authorization for inpatient admissions and specialized clinical procedures and treatments in accordance with established rules, procedures, specified time frames, and regulatory requirements. The specialist processes clinical information in a timely manner to prevent treatment delays and to avoid denials from third-party payers and maintains confidentiality of patient information.

Responsibilities:

• Enters and retrieves information from various automated systems and prepares specialized

Job Details:

Job Summary:

The Authorization Specialist is responsible for performing complex clerical procedures related to verifying insurance information and obtaining authorization for inpatient admissions and specialized clinical procedures and treatments in accordance with established rules, procedures, specified time frames, and regulatory requirements. The specialist processes clinical information in a timely manner to prevent treatment delays and to avoid denials from third-party payers and maintains confidentiality of patient information.

Responsibilities:

• Enters and retrieves information from various automated systems and prepares specialized

reports.

• Ensure completion of Medicare Physician Certification according to the regulatory timeline.
• Collects demographic and insurance data and enters accurately into specialized automated

systems.

• Prepares, reviews for completion, and maintains required documents in accordance with

established procedures, time frames and regulatory requirements.

• Makes contact to obtain missing information for incomplete forms.
• Advises patients and clinical staff of problems with insurance authorizations and resubmits

requests with additional or revised information.

• Contact insurance providers to confirm the level of benefits for inpatient admissions.
• Responds to customer inquiries and provides information.
• Serves as liaison between the physician's offices, patients, case management department and

Patient Registration.

• Follows up with patients, physicians, clinical and ancillary departments to ensure optimum

delivery of services.

• Communicates with case managers, hospital personnel, and external agencies to provide

information or resolve discrepancies.

Qualifications/Requirements:

Experience:

Two to three years of clerical experience in health care field or related area required.

Education:

A high school diploma or equivalency required, Associates Degree Preferred

Licenses / Certifications:

N/A

Other:

About Us:

NorthEast Provider Solutions Inc.

Benefits:

We offer a comprehensive compensation and benefits package that includes:

• Health Insurance
• Dental
• Vision
• Retirement Savings Plan
• Flexible Savings Account
• Paid Time Off
• Holidays
• Tuition Reimbursement