Insurance Authorization Specialist – Healthcare Access

KabaFusion; City of Albany (NY); On-site; USD 30,000 - 41,000; Full time

Benefits offered by this job

401k match

PTO & holidays

Life insurance

Disability insurance

Employee assistance program

Learning & development

Job summary

KabaFusion is seeking an Authorization Representative in Albany, NY to verify insurance, secure required authorizations, and coordinate start‑of‑care documentation. The role protects revenue integrity, supports clean claims, and ensures compliant service delivery across internal teams and with patients and payers.

Responsibilities include verifying coverage, processing eligibility, and communicating approvals or delays while maintaining HIPAA standards and accurate EMR documentation.

Qualifications

• High school diploma or equivalent education.
• Minimum of two years in home infusion or fast-paced health care environment.
• Proficient with Microsoft Office including Word, Excel, and Teams, and/or EHR software.

Responsibilities

• Provides courteous and professional telephone support to patients, families, referral sources, payors, and clinical staff.
• Verifies insurance coverage prior to deliveries to ensure accuracy and active coverage.
• Ensures services are eligible and covered under patient insurance benefits.
• Completes start-of-care, financial obligation, and Medicare/Medicaid forms accurately and timely.
• Collects and documents insurance cost-share and authorization details.
• Tracks authorization needs and secures ongoing authorization for patient care.
• Notifies stakeholders about authorization approvals, issues, or delays.
• Estimates patient financial responsibility using verification information and payer contracts.
• Coordinates and documents start-of-care materials for compliant service delivery.
• Documents eligibility, authorization, and communications in EMR.
• Assists with resolving insurance claim rejections to support timely reimbursement.
• Ensures HIPAA compliance in handling patient information.
• Other duties as assigned by manager.

Skills

Insurance verification

Authorization

Billing knowledge

CRM/EHR familiarity

Multitasking

Education

High school diploma or equivalent

Tools

Microsoft Office

EHR systems

Job description

KabaFusion is seeking an Authorization Representative in Albany, NY to verify insurance, secure required authorizations, and coordinate start‑of‑care documentation. The role protects revenue integrity, supports clean claims, and ensures compliant service delivery across internal teams and with patients and payers.

Responsibilities include verifying coverage, processing eligibility, and communicating approvals or delays while maintaining HIPAA standards and accurate EMR documentation.