Remote Jobs
Authorization Specialist II
This job is now closed
Job Description
- Req#: JR24398
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Minimum of 2 years of benefits verification or authorization experience required
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engage with a diverse team of healthcare professionals
- Chance to make a positive impact on patient care and satisfaction
What to Expect (Job Responsibilities):
- Ensure accuracy of insurance information and obtain prior authorization and predetermination for non-oncology and oncology infusions
- Monitor patient referrals and denials to manage pre-registration, verification, and authorization processes
- Evaluate physician orders for medical necessity and communicate with providers for order revisions
- Review clinical documentation for compliance with payer guidelines and process authorizations accordingly
- Document pertinent information in the computer system to maintain department standards
What is Required (Qualifications):
- High School Diploma or GED
- Minimum 2 years of benefits verification or authorization experience, or 3 years of pre-registration experience
- Basic healthcare knowledge and familiarity with insurance terminology
- Proven keyboard skills with the ability to type 75 WPM
- Excellent oral and verbal communication skills
How to Stand Out (Preferred Qualifications):
- Post-secondary education may be substituted for 2 years of experience
- Ability to navigate insurance websites for patient eligibility and payment information
- Strong organizational skills with attention to detail
- Experience working in a healthcare setting with direct patient interaction
#HealthcareServices #AuthorizationSpecialist #PatientCare #CareerOpportunity #HealthcareProfessionals
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.