Remote Healthcare Authorization Specialist

ReWorks Solutions; South Africa; À distance; ZAR 296 000 - 335 000; Plein temps

Résumé du poste

ReWorks Solutions is seeking a detail-oriented Healthcare Authorization Specialist to support a home-based ABA business. The role centers on preparing and submitting insurance authorization requests, collecting supporting documents, and navigating payer portals to ensure timely, accurate submissions.

Experience in healthcare insurance or ABA authorizations is helpful but not required. Training will be provided by the existing authorization specialist; strong computer skills and independence are

Qualifications

• Strong general computer literacy and confidence navigating online systems.
• Excellent attention to detail and the ability to follow detailed instructions.
• Strong problem-solving, reasoning, and research skills.
• Ability to learn new software, insurance portals, and processes quickly.
• Comfortable working independently and managing tasks with minimal supervision.
• Good written and verbal communication skills.
• Strong organizational skills and the ability to track multiple requests accurately.
• A proactive approach to troubleshooting and resolving issues.

Responsabilités

• Prepare and submit healthcare insurance authorization requests accurately and efficiently.
• Gather, organize, and verify supporting documentation required for authorization submissions.
• Complete payer-specific forms and navigate various insurance company portals.
• Track authorization requests, submission statuses, requirements, and outstanding documentation.
• Research insurance requirements and independently troubleshoot issues with online portals and submission processes.
• Contact insurance companies when clarification or additional information is required.
• Submit authorization requests through online portals and fax where applicable.
• Follow detailed procedures and maintain accurate electronic records.
• Identify and resolve routine issues independently, escalating more complex matters when necessary.

Connaissances

Computer literacy

Attention to detail

Problem solving

Quick learner

Independent worker

Communication skills

Outils

Availity

Description du poste

ReWorks Solutions is seeking a detail-oriented Healthcare Authorization Specialist to support a home-based ABA business. The role centers on preparing and submitting insurance authorization requests, collecting supporting documents, and navigating payer portals to ensure timely, accurate submissions.

Experience in healthcare insurance or ABA authorizations is helpful but not required. Training will be provided by the existing authorization specialist; strong computer skills and independence are