Medical Billing – Insurance Authorization Specialist

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November 21

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Solaris Health

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Healthcare Insurance • Healthcare • Biotechnology

Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🧬 Biotechnology

📋 Description

• Initiate and track insurance prior authorizations for scheduled procedures, imaging, and other medical services • Verify insurance eligibility and benefits using payer portals or through direct contact with payers • Accurately document authorization statuses in the electronic medical record (EMR) and Practice Management (PM) system • Ensure all authorizations are obtained prior to the scheduled date of service to avoid delays or denials • Work closely with the Manager/Supervisor and Team Lead of Financial Clearance to escalate urgent or complex authorization cases • Support team objectives and contribute to departmental huddles and workflow optimization initiatives • Participate in ongoing training and feedback sessions led by the Supervisor to enhance performance and process compliance • Communicate with insurance carriers to gather necessary clinical documentation and follow up on pending requests • Identify and report recurring payer issues or trends to the Supervisor for team-level resolution or escalation • Inform patients of authorization status, potential delays, and what to expect if coverage issues arise • Coordinate with patient estimation staff to ensure authorizations align with cost estimates and pre-service collections efforts • Performs other position related duties as assigned.

🎯 Requirements

• High School Diploma or equivalent required • Associate’s degree in healthcare administration, billing, or related field preferred • Minimum 1 year of experience in medical office, insurance verification, or healthcare billing • Familiarity with payer rules, authorization requirements, and EMR documentation preferred • Comprehensive understanding of insurance verification, contract benefits and medical terminology • Ability to follow policies and procedures and enter data into various electronic systems while maintaining the integrity and accuracy of the data • Professional verbal and written communication skills • Proficient in payer portals, EMR systems, and Microsoft Office • Excellent organizational skills and attention to detail • Excellent customer service skills • Strong analytical and problem-solving skills • Able to work effectively under supervision and in a collaborative, team-oriented environment • Detail-oriented, organized, and able to manage multiple authorizations simultaneously.

🏖️ Benefits

• Health insurance • Dental insurance • Vision insurance • Life Insurance • Pet Insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan