Insurance Authorization Specialist

CPSI; United States; Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

9 Company Paid Holidays

Parental Leave

Earned Time Off 3 weeks

Medical, Dental & Vision Insurance

Life and AD&D Insurance

Short-Term Disability Insurance

Disability & ID Theft Insurance (Vol)

FSA/HSA

401K with employer match

Job summary

CPSI is hiring an Insurance Authorization Specialist to verify patient eligibility and benefits, read clinical notes and patient charts, and create authorizations as needed. This role supports timely approvals and coordinates with care teams to ensure seamless patient care.

Qualified candidates will have at least two years in an authorization/insurance billing setting, strong communication skills, and proficiency with Cerner.

Qualifications

• Excellent written and verbal communication skills.
• Strong organizational and time-management abilities.
• Detail-oriented with problem-resolution capabilities.
• Ability to work independently and as part of a team.
• Knowledge of HIPAA regulations and patient privacy.

Responsibilities

• Verify patient eligibility and benefits.
• Read and interpret clinical notes and patient charts.
• Create authorizations when required.
• Coordinate with care teams to ensure timely approvals.

Skills

Communication

Organizational skills

Time management

Attention to detail

HIPAA knowledge

Team player

Computer skills

Reading clinical notes

Tools

Cerner

Job description

Job Summary:

The Insurance Authorization Specialist will perform daily tasks including: verification of patient eligibility, benefits, reading and understanding clinical notes and/or patient charts, and creating authorizations if needed.

Why join our team?

• Structured career development – our team of industry experts are here to support and work with you to explore your learning potential and career goals


• 9 Company Paid Holidays


• Company Paid Parental Leave


• Earned Time Off (3 weeks)


• Comprehensive Benefits Program (Medical, Dental and Vision Insurance)


• Company Paid Life and AD&D Insurance


• Company Paid Short-Term Disability Insurance


• Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance,


• Flexible Spending or Healthcare Savings Account


• 401K Retirement Plan with competitive employer match

Minimum Requirements:

Education/Experience/Certification Requirements:

• Excellent communication (written and oral) and interpersonal skills.


• Strong organizational, multi-tasking, and time-management skills.


• Must be detail oriented and able to follow through on issues to resolution.


• Must be able to act both independently and as a team member.


• Minimum of two years’ experience in authorization department/insurance billing/or similar department.


• Effective interpersonal and management skills


• Knowledge of and adherence to regulations set by HIPAA


• Knowledge and skills necessary to meet individual needs based on physical, psycho-social, educational, safety and other criteria appropriate for each individual patient


• Organizational and prioritization skills and ability to use time effectively


• Effective written and verbal communication skills


• Proficient computer skills


• Must be able to work in a seated position for extended periods of time


• Must be able to focus on and read a computer screen for prolonged periods Flexibility to handle a workload that fluctuates and grows with time

Preferred Qualifications:

• Experience with Cerner Initiating authorizations

Why join our team?

If you join us, you will receive:

• Work remotely with a work/life balance approach


• Robust benefits offering, including 401(k)


• Generous time off allotments


• 10 paid holidays annually


• Employer-paid short term disability and life insurance


• Paid Parental Leave