Insurance Authorization Coordinator I

Job not on LinkedIn

🕒 July 20

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🔒 Insurance

👻 Ghost score 56%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Center for Health Care Strategies

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1998

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Center for Health Care Strategies is a U. S. -based organization dedicated to improving the healthcare system to achieve better and more equitable outcomes, particularly for those served by Medicaid. The center focuses on issues like complex health and social needs, mental health, substance use, and aging and disability. It emphasizes cross-sector partnerships, community engagement, and health equity to transform the delivery system and promote value-based payments. The organization also supports leadership and capacity building efforts to drive system reform, including integrating Medicare and Medicaid services and advocating for trauma-informed care and primary care innovation.

📋 Description

• Obtain preauthorizations and referrals for hospital-based and physician-based services • Submit required documentation and follow up on authorization requests to ensure timely approvals • Process authorization requests, notifications, appointment add-ons, schedule/date changes, and impactful service changes according to departmental policy and payer requirements • Verify insurance coverage, eligibility, demographics, benefits, financial responsibility, and predetermination requirements • Review clinical documentation for information required by payers • Maintain detailed records of authorization requests, approvals, denials, correspondence, patient information, and insurance details • Communicate authorization status and address questions with patients, families, healthcare professionals, and internal departments • Collaborate with healthcare providers, physicians, clinical staff, Central Business Office, Financial Services, Transport, Patient Cost Estimation, Managed Care, Utilization Review, Authorization Departments, and other relevant departments • Resolve authorization barriers, denials, and appeals and identify alternative solutions • Attend daily departmental huddles and report payer issues, workflow barriers, and risks of non-reimbursable or canceled services • Build and maintain professional relationships with specialty department contacts and provide empathetic customer service • Adhere to laws, regulations, privacy guidelines, and organizational policies when handling patient and insurance information

🎯 Requirements

• One year of specialized training beyond high school • Minimum of 6 months Insurance Authorization experience required • Ability to utilize work queues and other mechanisms to initiate authorizations and referrals • Ability to verify insurance eligibility, authorization requirements, plan benefit levels, and patient financial responsibility • Knowledge of insurance policies, guidelines, procedures, authorization, and reimbursement processes • Ability to review clinical documentation and submit required information to payers • Ability to maintain accurate authorization and insurance records • Ability to identify and address authorization barriers, denials, appeals, and alternative solutions • Ability to work effectively in a virtual team environment • Ability to comply with relevant laws, regulations, privacy guidelines, and organizational policies