Insurance Authorization Specialist

Job not on LinkedIn

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 EMR and PM systems • 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, departmental huddles, and workflow optimization initiatives • Participate in 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 • Inform patients about authorization status, potential delays, and coverage issues • Coordinate with patient estimation staff on cost estimates and pre-service collections • Perform other related duties as assigned • Comply with ethical standards, applicable laws, regulations, the Solaris Health Code of Conduct, policies, HIPAA confidentiality requirements, reporting obligations, and 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 • Comprehensive understanding of insurance verification, contract benefits, and medical terminology • Ability to follow policies and procedures and accurately enter data into electronic systems • Professional verbal and written communication skills • Proficiency 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 • Ability to work effectively under supervision and in a collaborative, team-oriented environment • Ability to manage multiple authorizations simultaneously • Familiarity with payer rules, authorization requirements, and EMR documentation preferred • Compliance with HIPAA and applicable laws and regulations • Required travel: N/A

🏖️ Benefits

• Competitive pay • PTO • Holiday pay • 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, evenings, or holidays