Payer Authorization Operations Associate

Job not on LinkedIn

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Abby Care

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

📦 Logistics

💼 Consulting

Healthcare • Logistics • Consulting

Abby Care is a service that helps families get paid for providing in-home care to loved ones with disabilities or special needs. The organization trains and certifies family caregivers at no cost, manages hiring and payroll, navigates Medicaid and insurance paperwork to secure payment, and provides a purpose-built platform, clinical support, and community resources. Abby Care operates in multiple U. S. states and focuses on enabling high-quality, compensated family caregiving through partnerships with insurers and Medicaid programs.

📋 Description

• Collect, review, validate, and track documentation required for payer authorizations and re-authorizations • Prepare and submit complete authorization packets before expiration to prevent interruptions in patient care • Ensure documentation meets Medicaid, Medicare, payer, and state-specific requirements • Maintain accurate documentation and records across internal systems • Serve as a primary point of contact for families and caregivers regarding authorization status, documentation requirements, and benefit questions • Manage approximately 50–70 inbound and outbound calls daily • Respond to phone, email, and text inquiries and ensure timely follow-up • Monitor authorization timelines and proactively identify upcoming expirations • Prioritize competing requests while maintaining high accuracy and service levels • Identify documentation issues and partner with internal teams to resolve them • Collaborate with Onboarding, Credentialing, Family Support, Clinical Operations, and other internal teams • Escalate complex authorization issues when appropriate • Contribute to process improvements that increase efficiency and reduce authorization delays

🎯 Requirements

• 2+ years of experience in healthcare operations, healthcare administration, customer service, or administrative support • Experience managing prior authorizations, payer documentation, or healthcare operations • Proven success handling high-volume inbound and outbound calls in a fast-paced environment • Experience managing documentation with exceptional accuracy and attention to detail • Familiarity with HIPAA, Medicaid, Medicare, or healthcare documentation standards • Experience using CRM systems and collaboration tools such as Salesforce, Slack, Google Workspace, or similar platforms • Strong organizational and time-management skills with the ability to prioritize multiple competing deadlines • Excellent written and verbal English communication skills • Employment contingent upon successful completion of a background check, satisfactory references, and any required documentation • Ability to work Monday–Friday, 9:00 AM–5:00 PM Eastern Time

🏖️ Benefits

• Annual company performance bonus eligibility for global team members • 15 days of paid time off • 10 paid company US holidays • Growth opportunities and leadership-skill development • Remote work arrangement