Medical Authorizations Specialist

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ReWorks Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2024

🏥 Healthcare

📦 Logistics

📣 Marketing

Healthcare • Logistics • Marketing

ReWorks Solutions is a premium remote staffing company that provides rigorously vetted, native English-speaking offshore professionals from South Africa and the Philippines, managed end-to-end with white-glove onboarding, continuous coaching, performance monitoring, and HIPAA-compliant processes. They position themselves as a B2B partner for healthcare organizations and other businesses seeking client-facing and backend remote teams, promising cost savings, high retention, and compliance. ReWorks combines hands-on team management with AI-powered support to streamline hiring, scaling, and ongoing oversight of remote staff.

📋 Description

• Review patient information and determine insurance authorization requirements • Submit authorization requests to insurance companies and relevant payers • Follow up with insurance providers regarding pending authorization requests • Monitor authorization status and ensure requests are processed within required timelines • Track approved, pending, denied, and expired authorizations • Obtain authorization numbers and record authorization details accurately • Identify missing or incorrect information that may delay authorization • Communicate with insurance providers to resolve authorization-related queries • Escalate denied or complex authorization issues when required • Ensure authorizations are obtained before services are provided, where applicable • Maintain accurate and up-to-date authorization records • Update internal systems and spreadsheets with authorization information • Ensure supporting documentation is submitted correctly • Monitor authorization expiration dates and initiate renewals when required • Keep organised records of submissions, approvals, denials, and follow-ups • Communicate authorization information and updates to relevant internal teams • Liaise with internal clinical, administrative, and billing teams • Proactively identify outstanding items and ensure they are resolved

🎯 Requirements

• Previous hands-on experience working with insurance authorizations is required • Experience within a healthcare, medical, or insurance environment • Strong understanding of the insurance authorization process • Excellent verbal and written communication skills • Strong attention to detail and accuracy • Excellent organisational and time-management skills • Ability to manage multiple authorization requests and deadlines simultaneously • Strong follow-through and ability to proactively chase outstanding requests • Comfortable working with spreadsheets, online systems, and healthcare software • Strong computer skills and ability to learn new systems quickly • Ability to work independently while following established processes • Professional handling of confidential patient and insurance information