Authorization Specialist I

Aspire Rural Health System; Cass City (MI); On-site; USD 42,000 - 52,000; Full time

Job summary

Aspire Rural Health System is seeking an Authorization Specialist to join our healthcare team. This role focuses on verifying insurance, obtaining prior authorizations, and handling referrals to support both primary care and specialty offices.

The ideal candidate will have a high school diploma (MA preferred) and experience in healthcare settings, with familiarity of medical terminology and payer portals. Strong organizational and communication skills are essential to manage multiple priorities

Qualifications

• High school diploma or equivalent required
• MA preferred
• Previous healthcare, medical office, insurance verification, referral, scheduling, or prior authorization experience preferred
• Knowledge of medical terminology and health insurance requirements preferred
• Strong organizational, communication, problem-solving, and attention-to-detail skills
• Ability to manage multiple priorities and work effectively in a fast-paced, high-volume environment
• Experience with electronic medical records and insurance payer portals preferred

Responsibilities

• Manage insurance verification, prior authorizations, and referrals for primary care and specialty offices.
• Work closely with providers, clinical staff, scheduling teams, insurance companies, patients, and outside organizations to ensure timely access to services.
• Collaborate with team to support smooth authorization workflows and timely patient access.

Skills

Organizational skills

Communication skills

Problem-solving

Attention to detail

Multitasking

Fast-paced environment

Education

High school diploma

MA preferred

Tools

EMR systems

Payer portals

Job description

Hours:

Full Time. Days. No Holidays. Full Benefits.

Aspire Rural Health System is seeking an Authorization Specialist. We are looking for those who have a great attitude to join our dedicated team of healthcare professionals who are constantly striving to provide the highest quality of services for our patients.

REQUIREMENTS:

• High school diploma or equivalent required
• MA preferred
• Previous healthcare, medical office, insurance verification, referral, scheduling, or prior authorization experience preferred
• Knowledge of medical terminology and health insurance requirements preferred
• Strong organizational, communication, problem-solving, and attention-to-detail skills
• Ability to manage multiple priorities and work effectively in a fast-paced, high-volume environment
• Experience with electronic medical records and insurance payer portals preferred

RESPONSIBILITIES:

This position is responsible for managing insurance verification, prior authorizations, and referrals for primary care and specialty physician offices. This position works closely with providers, clinical staff, scheduling teams, insurance companies, patients, and outside healthcare organizations to ensure patients receive timely access to needed services.

\"Aspire Rural Health Systems are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Aspire Rural Health System provides reasonable accommodations to qualified applicants with disabilities. If you need an accommodation to complete the application or participate in the interview process, please contact Human Resources.\"