Authorization Specialist

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🔥 0 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $19 - $21 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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MedVanta

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2022

💼 Consulting

🏥 Healthcare

☁️ SaaS

💰 $1.8M Seed on 2025-01

Consulting • Healthcare • SaaS

MedVanta is a physician-owned musculoskeletal (MSK) care platform that provides end-to-end digital and clinical solutions for providers, employers, insurers, and patients. Their SaaS products (VantaStat, VantaConnex, VantaMotion, VantaLytics, VantaMSO) offer 24/7 telecare and mobile app access, streamlined scheduling across 190+ locations, AI-powered injury prevention and predictive analytics, and operational support for private practices and payors. The platform focuses on improving MSK access, reducing costs, and delivering data-driven insights for care coordination and recovery.

📋 Description

• Perform patient registration, scheduling, and insurance verification duties • Answer patient phone calls professionally and efficiently to register and schedule patients • Respond to routine inquiries regarding online and in-office scheduling • Schedule, change, and update patient appointments • Interview patients for demographic information, evaluate eligibility, collect co-pays and deductibles, and verify insurance • Contact insurance carriers to verify eligibility, benefits, and requirements • Request, track, and obtain pre-authorizations for medical and therapy services within allotted timeframes • Process insurance authorizations and update patient records • Research referrals for denial or approval and identify diagnoses using CPT and ICD-10 coding • Operate online insurance verification websites • Communicate insurance changes or trends among the team • Respond to patient inquiries, questions, and scheduling requests • Participate in department Performance Improvement activities • Document communications and provider/personnel contacts according to standardized requirements • Educate patients and coworkers on the preauthorization process and coverage information • Use scheduling, EMR, and other computer software to communicate and understand patient needs • Report necessary information and unusual occurrences according to policies and procedures • Participate in orientation programs • Ensure compliance with regulatory and CAO guidelines, policies, and procedures • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent • 1–2 years of medical office experience is preferred • Proficient knowledge in medical terminology • Above average spelling and typing skills • Proficient computer software, including online insurance websites and DASH, and database skills • Proficiency with Microsoft Office suite of products • Experience collaborating across multiple functions • Experience innovating in a fast-growing work environment and dealing with ambiguity • Strong interpersonal skills and ability to develop relationships, collaborate, and influence in a decentralized organization • Ability to organize, prioritize, and manage multiple tasks in a dynamic environment • Strong oral and written communication skills with excellent self-discipline and patience • Able to work independently • Excellent time management, organization, and administrative support skills • Must be able to read, write, speak, understand, and communicate in English • Must be able to sit for long periods and lift up to 25 pounds • Must be able to use appropriate body mechanics techniques when performing desk duties • Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting • Adequate hearing to perform duties in person and over telephone • Must be able to communicate clearly with patients in person and over the telephone • Visual acuity adequate to perform job duties, including reading printed materials and computer screens

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