Remote Authorization Specialist III — Pre-Auth & Payer Support

61st Street Service Corporation

New York, Northern (NY, KY)

Hybrid

USD 40,000 - 51,000

Full time

8 days ago
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Benefits offered by this job

Healthcare benefits
Paid time off

Job summary

61st Street Service Corporation, providing administrative and clinical support for ColumbiaDoctors, seeks an Authorization Specialist III. The role is primarily remote, requiring tri-state residency with occasional office visits in NY/NJ.

Responsibilities include securing payer authorizations, managing denials, and coordinating with clinical staff. Qualifications include a minimum of 2 years in physician billing, strong communication, and proficiency with Microsoft Office and billing systems.

Qualifications

  • High school diploma or GED required.
  • Experience in physician billing or third payer environment (min 2 years).
  • Ability to navigate managed care eligibility and billing requirements.
  • Strong customer service orientation and professional communication.
  • Proficiency with computer software (Word, Excel, Outlook).
  • Knowledge of medical terminology; CPC certification preferred.

Responsibilities

  • Verify insurance coverage and determine pre-authorization requirements.
  • Update billing system with coverage changes and provider status.
  • Submit necessary documentation to insurers and follow up on approvals.
  • Communicate with clinical staff and payers regarding authorizations and denials.
  • Assist with staff training, audits, and daily workload distribution.
  • Perform other duties as assigned.

Skills

Customer service
Communication skills
Multi-tasking
Time management
Medical terminology

Education

High school diploma or GED

Tools

Epic
Electronic billing systems
Microsoft Word
Excel
Outlook
E-mail systems

Job description

61st Street Service Corporation, providing administrative and clinical support for ColumbiaDoctors, seeks an Authorization Specialist III. The role is primarily remote, requiring tri-state residency with occasional office visits in NY/NJ.

Responsibilities include securing payer authorizations, managing denials, and coordinating with clinical staff. Qualifications include a minimum of 2 years in physician billing, strong communication, and proficiency with Microsoft Office and billing systems.

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