Remote US Healthcare Authorization Specialist (EST Hours)

ISTA Personnel Solutions; United States; À distance; USD 42 000 - 64 000; Plein temps

Résumé du poste

ISTA Personnel Solutions is seeking an Authorizations Specialist for a fully remote, US-based role supporting insurance authorizations and payer requirements. You will collaborate with healthcare providers, billing and pharmacy teams, ensuring timely approvals, denials, or reauthorizations while maintaining accurate records in Salesforce.

Ideal candidates have experience in healthcare authorizations, benefits verification, or related administration, with strong organization, detail orientation,

Qualifications

• Experience in healthcare insurance authorizations or related healthcare administration.
• Highly organized, detail-oriented and proactive in a fast-paced environment.
• Ability to manage multiple cases, priorities and follow-ups.

Responsabilités

• Manage insurance authorization requests from submission through approval or denial.
• Review patient information and clinical documentation to meet payer requirements.
• Monitor authorization statuses, expiration dates, and upcoming appointments.
• Coordinate SCAs and provide status updates to relevant teams.
• Complete required online enrolments related to compliance programs and patient benefits.
• Handle payer-specific requirements, including referrals and authorizations.
• Maintain accurate data in Salesforce and other systems.
• Communicate with carriers, providers, billing, pharmacy, and internal teams.

Connaissances

Healthcare insurance authorizations

Payer requirements

Organizational skills

Time management

Attention to detail

Communication skills

Proactive mindset

Independent follow-up

Outils

Salesforce

Description du poste

ISTA Personnel Solutions is seeking an Authorizations Specialist for a fully remote, US-based role supporting insurance authorizations and payer requirements. You will collaborate with healthcare providers, billing and pharmacy teams, ensuring timely approvals, denials, or reauthorizations while maintaining accurate records in Salesforce.

Ideal candidates have experience in healthcare authorizations, benefits verification, or related administration, with strong organization, detail orientation,