Patient Access & Authorization Specialist

Paycom - ATS; Plymouth (NH); On-site; USD 46,000 - 62,000; Full time

Job summary

Speare Memorial Hospital is seeking an Admissions & Authorization Specialist to support our Patient Access team. You will review services for authorization needs, submit NOAs, and manage prior authorizations to minimize financial risk while ensuring timely patient access.

You will verify demographics, insurance, and obtain necessary signatures, while maintaining HIPAA compliance and high-quality customer service in a fast-paced environment.

Qualifications

• High School Diploma required.
• 1-2 years healthcare experience required.
• Knowledge of insurance authorization workflows.
• Attention to detail and accuracy.
• Strong communication and organizational skills.

Responsibilities

• Review scheduled services to determine authorization requirements based on payer guidelines.
• Submit timely Notice of Admission (NOA) to CMS and private payers within the required 24-48 hour regulatory window to avoid reimbursement penalties.
• Initiate and complete prior authorizations via payer portals, phone, or fax.
• Obtain and verify required clinical documentation to support medical necessity for both authorization forms and NOA submissions.
• Track and follow up on authorization and NOA status to prevent delays, denials, or “untimely filing” reductions.
• Communicate authorization outcomes and NOA-related issues to clinical and billing departments.
• Greet and direct patients and visitors appropriately; Register patients for hospital services; Verify demographic and insurance information; Obtain required patient signatures and provide IM/NOMNC where applicable.

Skills

Attention to detail

Healthcare experience

Communication

Organizational skills

Multitasking

EMR systems

Payer portals

Independent work

Education

High School Diploma

Tools

Meditech

Job description

Speare Memorial Hospital is seeking an Admissions & Authorization Specialist to support our Patient Access team. You will review services for authorization needs, submit NOAs, and manage prior authorizations to minimize financial risk while ensuring timely patient access.

You will verify demographics, insurance, and obtain necessary signatures, while maintaining HIPAA compliance and high-quality customer service in a fast-paced environment.