Insurance Authorization Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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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Solaris Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

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.

📋 Description

• Initiate and track insurance prior authorizations for scheduled procedures, imaging, and other medical services • Verify insurance eligibility and benefits using payer portals or direct contact with payers • Document authorization statuses accurately in the EMR and Practice Management system • Obtain authorizations before scheduled dates of service to avoid delays or denials • Escalate urgent or complex authorization cases to the Manager/Supervisor and Team Lead of Financial Clearance • Support team objectives and participate in departmental huddles and workflow optimization initiatives • Participate in ongoing training and feedback sessions • Communicate with insurance carriers to gather clinical documentation and follow up on pending requests • Identify and report recurring payer issues or trends to the Supervisor • Inform patients about authorization status, potential delays, and coverage issues • Coordinate with patient estimation staff so authorizations align with cost estimates and pre-service collections • Perform other related duties as assigned • Adhere to ethical standards, applicable laws, HIPAA requirements, the Solaris Health Code of Conduct, and organizational policies • Report suspected compliance concerns or violations • Complete Annual Compliance Training

🎯 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 data integrity and accuracy • 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 • Must maintain patient confidentiality in compliance with HIPAA • Must comply with applicable laws, regulations, Solaris Health Code of Conduct, and organizational policies and procedures • Must complete Annual Compliance Training

🏖️ Benefits

• Competitive pay • PTO • Holiday pay • Comprehensive benefits package • 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 • No weekends • No evenings • No holidays