Remote Authorization Specialist for Medical Billing

L.O. Eye Care; Grand Ledge (MI); Hybrid; USD 45,000 - 65,000; Full time

Job summary

L.O. Eye Care is seeking an Authorization Specialist to manage insurance verifications, obtain pre-approvals, and ensure timely authorization for procedures and medications.

The role emphasizes accurate documentation and communication with hospitals, providers, patients, and insurers. The ideal candidate will have 3–5 years in healthcare billing, familiarity with CPT/ICD coding, and a strong commitment to patient confidentiality and accuracy.

Qualifications

• Clear communication skills, both written and verbal.
• Experience with medical billing processes and HIPAA rules.
• Familiarity with vision insurance and medical payers.

Responsibilities

• Contact insurance carriers to verify patient eligibility and benefits.
• Request and obtain pre-authorization from insurers within required timeframes.
• Obtain prior-authorizations before services are performed.
• Document communications with providers in standardized formats.
• Attend meetings and training; assist with policy compliance.

Skills

Communication

Conscientious

Teamwork

Adaptability

Trustworthy

Patient confidentiality

Education

High School Diploma or GED

3–5 years healthcare billing experience

HIPAA knowledge

Tools

NextGen

Job description

L.O. Eye Care is seeking an Authorization Specialist to manage insurance verifications, obtain pre-approvals, and ensure timely authorization for procedures and medications.

The role emphasizes accurate documentation and communication with hospitals, providers, patients, and insurers. The ideal candidate will have 3–5 years in healthcare billing, familiarity with CPT/ICD coding, and a strong commitment to patient confidentiality and accuracy.