Authorization Specialist

A company is looking for an Authorization Specialist (Remote in Wisconsin / Michigan).

Key Responsibilities

Review patient medical records to determine the necessity of prior authorization for treatments, procedures, or medications

Verify patient eligibility and contact insurance companies to obtain necessary authorizations

Manage the authorization process to minimize delays in patient care

Required Qualifications, Training, and Education

Minimum of two years' experience in a medical business office or healthcare setting

Understanding of basic medical terminology, disease processes, and treatment options

Familiarity with different insurance plans and prior authorization guidelines

Successful completion of post-secondary courses in Medical Terminology and Diagnosis and CPT Coding, and Anatomy & Physiology is preferred

Graduate of a Medical Assistant, Health Unit Coordinator, or Health Care Business Service program is preferred