Insurance Authorization Specialist

Sweetwater Care; Visalia (CA); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Growth opportunities

Supportive environment

Job summary

Sweetwater Care in Visalia, CA is seeking an Insurance Authorization Specialist to join a hybrid team. You will authorize and process insurance claims, coordinating with patients and providers to ensure timely and accurate billing.

Ideal candidates have a high school diploma (related degree preferred), strong communication skills, and familiarity with EHRs. This role emphasizes HIPAA compliance and collaboration within a dynamic healthcare setting.

Qualifications

• High school diploma or equivalent is required.
• Basic knowledge of insurance policies and procedures.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and prioritize tasks.
• Proficiency with computer software, including EHR systems.

Responsibilities

• Authorize and process insurance claims in line with policies and regulations.
• Communicate with patients, families, and providers to gather information.
• Maintain accurate, confidential insurance records compliant with HIPAA.
• Collaborate with healthcare team to resolve billing and insurance issues.
• Stay updated with changes in insurance policies and procedures.
• Perform other related duties as assigned.

Skills

Insurance knowledge

Excellent communication

Interpersonal skills

Fast-paced work

Tech proficiency

Education

High school diploma or equivalent

Related field degree (preferred)

Tools

EHRs

Job description

Insurance Authorization Specialist

Join a dedicated team in Visalia, California in a hybrid role!

As an Insurance Authorization Specialist, you will play a crucial role in ensuring seamless operations in our healthcare organization. In this rewarding and challenging position, you will be responsible for authorizing and processing insurance claims, working closely with patients, families, and healthcare providers to deliver exceptional care.

Responsibilities:

• Authorize and process insurance claims, ensuring compliance with regulations and insurance policies
• Communicate with patients, families, and healthcare providers to gather necessary information for insurance claims
• Manage and maintain accurate records of insurance claims, ensuring confidentiality and compliance with HIPAA regulations
• Collaborate with the healthcare team to identify and resolve billing and insurance-related issues
• Stay up-to-date with changes in insurance policies, regulations, and procedures
• Perform other related duties as assigned

Requirements:

• High school diploma or equivalent required; degree in a related field preferred
• Basic knowledge of insurance policies, regulations, and procedures
• Excellent communication and interpersonal skills
• Ability to work in a fast-paced environment and prioritize tasks effectively
• Proficiency in computer software applications, including electronic health records (EHRs)

What We Offer:

• A dynamic and supportive work environment with a team of dedicated professionals
• Opportunities for growth and professional development