Authorization Specialist ASR 26-05255

Job Title: Authorization Specialist (Remote)
Location: Ithaca NY
Schedule: Monday Friday 8:00 AM 4:30 PM

Compensation:

• Pay Rate: $34/hour (W2)

Position Overview:

We are seeking a detail-oriented and experienced Authorization Specialist to support the prior authorization process in a remote healthcare environment. This role is responsible for coordinating insurance approvals verifying patient coverage and ensuring timely access to medications and healthcare services while maintaining excellent customer service and compliance standards.

Responsibilities:

• Initiate prior authorizations through fax insurance portals and third-party systems
• Follow up with insurance companies regarding authorization status and approvals
• Submit additional clinical documentation required for authorization determinations
• Verify patient insurance eligibility benefits and coverage details
• Accurately collect and enter patient demographic and financial information into appropriate systems
• Maintain detailed and accurate documentation of authorization activities
• Utilize electronic medical systems registration systems and verification tools efficiently
• Demonstrate understanding of healthcare regulations insurance processes and reimbursement requirements
• Communicate professionally with patients providers clinics insurance representatives and internal teams
• Support departmental productivity quality and customer service goals
• Ensure compliance with federal state and organizational policies and procedures
• Participate in meetings training sessions and additional assigned duties as needed

Required Qualifications:

• Associates Degree with 2 years of relevant healthcare experience
  OR
• High School Diploma/GED with 4 years of relevant healthcare experience

Required Experience:

• Minimum 2 years of healthcare experience in a hospital physician practice surgery center or health plan environment
• Minimum 1 year of prior authorization experience with a healthcare provider or insurance company
• Experience with insurance verification hospital registration or healthcare data processing
• Strong knowledge of medical terminology CPT codes and diagnosis coding
• Proficiency with Microsoft Office Suite including Word and Excel

Core Competencies:

• Excellent communication and customer service skills
• Strong organizational and multitasking abilities
• High attention to detail and accuracy
• Ability to work independently in a remote environment
• Effective problem-solving and follow-up skills
• Ability to maintain confidentiality and handle sensitive patient information professionally

Physical Requirements:

• Ability to sit or stand for extended periods
• Repetitive use of hands and fingers for computer work
• Ability to occasionally lift up to 20 pounds

Work Environment:

• Remote healthcare administrative environment
• Frequent use of electronic medical systems and insurance portals
• Fast-paced setting requiring professionalism accuracy and timely follow-up

For more details reach at or Call / Text at .

About Navitas Healthcare LLC: It is a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.