Medical Authorization Specialist

ADP, Inc.; Sacramento (CA); On-site; USD 52,000 - 64,000; Full time

Job summary

Sacramento Ear, Nose & Throat (SacENT) is seeking an Authorizations Specialist to obtain and verify authorizations for tests, procedures, and referrals, supporting physicians and patients in a fast-paced clinic setting.

Candidates should have at least two years of authorization experience, be familiar with EPIC EHR, and demonstrate strong communication, attention to detail, and organizational skills to coordinate with insurers and care teams.

Qualifications

• Minimum of 2 years authorizations experience in a medical or hospital setting.
• EPIC EHR experience preferred.
• Ability to obtain and verify authorizations for tests and procedures.

Responsibilities

• Obtains and verifies authorization for new and return patient visits.
• Obtains and verifies authorizations for surgical procedures.
• Requests authorization for Sleep Studies and durable medical equipment for follow-up care.
• Coordinates outside referrals to other facilities.
• Refer patients back to PCPs if insurance requires.
• Obtains retroactive authorization when needed.
• Performs other duties as assigned.

Skills

Interpersonal skills

Critical thinking

Follow instructions

Education

High School diploma or GED

Tools

EPIC EHR

Job description

Sacramento Ear, Nose & Throat (SacENT) is seeking an Authorizations Specialist to obtain and verify authorizations for tests, procedures, and referrals, supporting physicians and patients in a fast-paced clinic setting.

Candidates should have at least two years of authorization experience, be familiar with EPIC EHR, and demonstrate strong communication, attention to detail, and organizational skills to coordinate with insurers and care teams.