Medical Authorization Specialist

TAG MedStaffing; New York (NY); On-site; USD 24,000 - 34,000; Full time

Job summary

TAG MedStaffing is seeking a Medical Authorization Specialist for in-office work in Queens, NY. This role supports insurance authorizations, referrals, and patient records while coordinating with providers and insurance entities.

You will verify coverage, track authorizations, and communicate with patients to ensure smooth service delivery. Strong data entry and EHR experience are preferred; high attention to detail is essential.

Qualifications

• Education: High school diploma or GED is required.
• Experience: 1–2 years in administrative, customer service, medical billing or healthcare office setting.
• Industry knowledge: Familiarity with health insurance coverage, referrals, prior authorizations, and patient benefits.
• Technical skills: Proficient computer skills and accurate data entry; experience with electronic health records preferred.
• Skills & attributes: Detail orientation, organization, communication, problem-solving, professionalism and patient service.

Responsibilities

• Insurance Authorizations: Obtain, review, and process insurance authorizations and referrals prior to patient services.
• Authorization Tracking: Monitor authorization statuses, expiration dates, and outstanding requests to ensure timely processing.
• Insurance Verification: Review patient insurance coverage, benefits, deductibles, copayments, and coinsurance information.
• Patient Communication: Respond to patient inquiries, explain insurance-related information, and provide professional customer service.
• Clinical Coordination: Communicate with healthcare providers, insurance companies, and pharmacies to resolve authorization and coverage issues.
• Administrative Support: Maintain accurate electronic health records, complete data entry, and assist with daily medical office operations.

Skills

Attention to detail

Organization

Communication

Problem-solving

Professionalism

Patient service

Education

High school diploma or GED

Tools

Electronic Health Record (EHR) systems

Job description

Job Overview – Medical Authorization Specialist Compensation: $21/hour Location: Queens, NY Schedule: Monday to Friday (In-Office)

TAG MedStaffing is hiring Medical Authorization Specialists across multiple New York locations for our client, supporting insurance authorizations, patient services, and medical office administration. This temporary role will assist with verifying insurance coverage, processing referrals and authorizations, maintaining accurate patient records, and communicating with patients, healthcare providers, and insurance companies.

Responsibilities as the Medical Authorization Specialist:

• Insurance Authorizations: Obtain, review, and process insurance authorizations and referrals prior to patient services.
• Authorization Tracking: Monitor authorization statuses, expiration dates, and outstanding requests to ensure timely processing.
• Insurance Verification: Review patient insurance coverage, benefits, deductibles, copayments, and coinsurance information.
• Patient Communication: Respond to patient inquiries, explain insurance-related information, and provide professional customer service.
• Clinical Coordination: Communicate with healthcare providers, insurance companies, and pharmacies to resolve authorization and coverage issues.
• Administrative Support: Maintain accurate electronic health records, complete data entry, and assist with daily medical office operations.

Qualifications for the Medical Authorization Specialist:

• Education: High school diploma or GED is required.
• Experience: 1-2 years of administrative, customer service, medical billing, or healthcare office experience is required.
• Industry Knowledge: Familiarity with health insurance coverage, referrals, prior authorizations, and patient benefits is required.
• Technical Skills: Strong computer proficiency, accurate data entry skills, and experience with electronic health record systems are required, with knowledge of medical terminology, CPT codes, and ICD-10 codes preferred.
• Skills & Attributes: Strong attention to detail, organization, communication, problem-solving, professionalism, and patient service skills are required.

Application Notice: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, TAG MedStaffing will keep your resume on file for future opportunities and may contact you for further discussion.