Authorization & Utilization Specialist II

Florida Cancer Specialists & Research Institute; Town of Florida (NY); Hybrid; USD 35,000 - 55,000; Full time

Benefits offered by this job

Medical and Prescription Coverage

Vision & Dental Insurance

Paid Time Off (PTO)

Tuition Reimbursement

401(k) Retirement Plan

Life Insurance

Disability Insurance

Legal Insurance

Job summary

Florida Cancer Specialists & Research Institute is seeking an Authorization Specialist to review and coordinate the service authorization process in line with payer guidelines. You will track, document, and communicate authorization activity across payer groups and support schedule coverage for ongoing cases.

The role requires prior experience with medical insurance authorizations, proficiency in MS Office, and a valid driver’s license for travel between satellite offices.

Qualifications

• High School Diploma or GED required.
• 2+ years’ experience obtaining insurance authorizations in a medical setting.
• Proficiency in MS Office (Word, Excel, PowerPoint, Outlook).
• Valid state driver’s license for travel to satellite offices and offsite meetings.

Responsibilities

• Review and coordinate the authorization process for services requiring payer authorization.
• Coordinate, track and document all authorizations electronically.
• Manage oral and/or written communication related to authorization activity.
• Provide coverage for schedules and pending cases for all payer groups as assigned.
• Demonstrate strong knowledge of payer guidelines for authorizations and adapt to all payer groups.

Skills

Insurance authorizations experience

Driver's license

MS Office proficiency

Education

High School Diploma or GED

Tools

MS Office

Job description

Florida Cancer Specialists & Research Institute is seeking an Authorization Specialist to review and coordinate the service authorization process in line with payer guidelines. You will track, document, and communicate authorization activity across payer groups and support schedule coverage for ongoing cases.

The role requires prior experience with medical insurance authorizations, proficiency in MS Office, and a valid driver’s license for travel between satellite offices.