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Authorization Assistant Jobs (NOW HIRING)

El Centro Family Health

Pharmacy Assistant

Espanola, NM

$17.50 - $22.25/hr

Direct medication refill requests electronically for provider authorization. * Assist provider with medication prior authorizations. * Manage Sublocade/Vivitrol patient inventory * Manage naloxone ...

El Centro Family Health

Pharmacy Assistant

NM · On-site

$17.50 - $22.25/hr

Direct medication refill requests electronically for provider authorization. * Assist provider with medication prior authorizations. * Manage Sublocade/Vivitrol patient inventory * Manage naloxone ...

El Centro Family Health

Pharmacy Assistant

Espanola, NM · On-site

$17.50 - $22.25/hr

Direct medication refill requests electronically for provider authorization. * Assist provider with medication prior authorizations. * Manage Sublocade/Vivitrol patient inventory * Manage naloxone ...

Quality Moments

Authorization Coordinator

Columbus, OH · On-site

$20 - $22/hr

Verify insurance eligibility and benefits as needed. * Assist with appeals and reconsideration requests for denied services. * Generate reports related to authorization activity, approvals, denials ...

Senior PsychCare

Authorization Specialist

Houston, TX · On-site

$17.25 - $23/hr

Initiate and assist with appeals for denied authorizations * Effectively maintain, monitor, and update payer medical policy guidelines to manage authorization requirements * Request, review, and ...

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Authorization Assistant information

Is prior authorization work from home possible?

Authorization assistants often have the opportunity to work remotely, especially in roles that involve reviewing documents, communicating with healthcare providers, and using electronic health record systems. Many employers offer remote or hybrid options, but availability depends on the company's policies and the specific job requirements, such as attention to detail and familiarity with authorization procedures.

What are some common challenges Authorization Assistants face when working with insurance providers?

Authorization Assistants often encounter challenges such as navigating complex insurance policies, managing frequent updates to coverage requirements, and communicating effectively with both healthcare providers and insurance representatives. Timely follow-ups and resolving discrepancies in patient information can add to the workload. Developing strong organizational skills and staying current with payer guidelines are key to overcoming these obstacles and ensuring authorizations are obtained efficiently.

What does an Authorization Assistant do?

An Authorization Assistant is responsible for processing and verifying requests for authorizations, typically within healthcare, insurance, or administrative settings. They review documentation, ensure compliance with regulations, and communicate with clients, providers, or internal teams to obtain any necessary information. Their role is critical in ensuring that services, claims, or procedures are properly approved according to policy guidelines. Strong attention to detail and communication skills are essential for success in this position.

Do you need a degree to be a prior authorization specialist?

A prior authorization specialist typically does not need a college degree but should have relevant healthcare knowledge, strong communication skills, and familiarity with insurance policies and medical billing systems. Certification in medical billing or coding can enhance job prospects but is not always required.

Is prior authorization a stressful job?

As an Authorization Assistant, the role can be stressful at times due to the need for accuracy, attention to detail, and meeting strict deadlines when processing insurance approvals. The job often involves handling complex cases, managing multiple requests simultaneously, and working under time pressure, which can contribute to stress levels.

What are the key skills and qualifications needed to thrive as an Authorization Assistant, and why are they important?

To thrive as an Authorization Assistant, you need strong organizational skills, attention to detail, and a high school diploma or equivalent, with some employers preferring experience in healthcare administration. Familiarity with insurance verification systems, electronic medical records (EMRs), and authorization management software is typically required. Excellent communication, problem-solving, and multitasking abilities help you efficiently coordinate between providers, patients, and insurance companies. These skills are crucial for ensuring timely and accurate processing of authorizations, which supports patient care and organizational efficiency.

What skills do you need to be an authorization specialist?

An authorization specialist needs strong communication and organizational skills to manage patient or client information accurately. They should be familiar with healthcare or insurance systems, have attention to detail, and often require knowledge of relevant regulations and documentation procedures. Proficiency with computer software and data entry is also essential for efficient authorization processing.
What cities are hiring for Authorization Assistant jobs? Cities with the most Authorization Assistant job openings:
What are the most commonly searched types of Authorization jobs? The most popular types of Authorization jobs are:
What states have the most Authorization Assistant jobs? States with the most job openings for Authorization Assistant jobs include:
Authorization Assistant jobs near you
Admin Asst-Insurance Authorization

Admin Asst-Insurance Authorization

Catholic Health

Roslyn, NY • On-site

$25 - $35/hr

Other

Medical, Retirement

Posted 22 days ago

Catholic Health rating

7.9

Company rating: 7.9 out of 10

Based on 176 frontline employees who took The Breakroom Quiz

105th of 881 rated healthcare providers

Job description

Overview
St. Francis Hospital, The Heart Center® is New York State's only specialty designated cardiac center. A member of Catholic Health, St. Francis is consistently recognized by U.S. News & World Report as a national leader for Cardiology & Heart Surgery, as well as for Gastroenterology & GI Surgery. Additionally, U.S. News rates St. Francis as high performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and Pulmonology. Nursing care at St. Francis is also nationally recognized, with multiple Magnet designations, as well as the AMSN PRISM Awards® and Beacon Awards. St. Francis has regularly out-scored other hospitals on Long Island.
Job Details
We are seeking an experienced Authorization Specialist to join our cardiology office, where your expertise will play a crucial role in ensuring our patients receive the care they need seamlessly. This is an exciting opportunity to utilize your skills in obtaining accurate authorizations for various scheduled services, ensuring an efficient process that supports patient care and operational excellence.
Key Responsibilities:
  • Review & Verify Patient Coverage: Diligently assess patient insurance coverage and secure the necessary authorizations prior to the provision of services, ensuring full compliance with payer requirements.
  • Timely Authorization Requests: Efficiently process authorization requests for both scheduled and add-on procedures with an emphasis on accuracy and speed.
  • Communication & Coordination: Keep the team informed about any challenges or delays in obtaining authorization, fostering an open line of communication with office staff.
  • Track & Document: Maintain comprehensive records of communication between insurance carriers and facility representatives, ensuring all details are accurately documented.
  • Prioritize Requests: Assess and prioritize incoming authorization requests based on urgency to maintain workflow efficiency.
  • Review Documentation: Ensure that documentation meets medical policy guidelines to expedite the approval process.
  • Utilize Payer Resources: Effectively obtain authorizations via payer websites or phone calls, consistently following up on pending cases to achieve timely approvals.
  • Notify Leadership: Proactively inform department leadership about potential missed deadlines and escalate cases when necessary.
  • Liaison Role: Act as a vital link between patient account services and physicians, developing validated daily work lists to guide daily operations.
  • Audit Assistance: Support insurance and regulatory audits by providing relevant information to management regarding documentation discrepancies.
  • Process Improvement: Analyze existing workflows to identify opportunities for improvement and reduction of denials.
  • Team Collaboration: Participate in ongoing projects as necessary, meet productivity standards, and contribute to team meetings and committees as required.
  • Flexible Support: Provide backup for check-in processes and assist with Epic patient access work queues as needed.

Position Requirements & Qualifications:
Education/Experience:
  • Proven knowledge of CPT and ICD-10 coding, with strong written communication skills.
  • Familiarity with third-party payer requirements for both in-network and out-of-network authorization.
  • Understanding of authorization processes across various payers.
  • Coding certification is a plus but not mandatory.
  • Minimum of 3 years of relevant healthcare experience.

Skills:
  • Proficient in using personal computers and software applications such as word processing, spreadsheets, and databases.
  • Excellent verbal and written communication abilities, with strong organizational skills and an aptitude for prioritizing assignments with minimal oversight.
  • Demonstrates professionalism and a collaborative spirit, contributing positively to the team environment.
  • Strong critical thinking and clinical judgment skills for effective decision-making.

Knowledge:
  • Stay updated on requirements from third-party payers, regulatory agencies, and managed care entities regarding levels of care, continuity of benefits, and medical necessity guidelines.
  • Awareness of managed care practices and the latest trends in patient care.

Posted Salary Range
USD $25.00 - USD $35.00 /Hr.
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies, and experience and position location. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

What Catholic Health employees say

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About Catholic Health

Sourced by ZipRecruiter

Formed in 1998 under four religious sponsors, Catholic Health in Buffalo, NY is a non-profit healthcare system that provides care to Western New Yorkers across a network of hospitals, nursing homes, home care agencies, physician practices, and other community based ministries. Today, the system has two religious sponsors, the Diocese of Buffalo and the Franciscan Sisters of St. Joseph, who carried on its Mission across the Buffalo-Niagara region. Our mission sets us apart. It's the human side of healthcare – the touch, smile or comforting word that can help make your healthcare experience better. It's treating all people with respect and dignity, and providing comfort in times of greatest need. Catholic Health is making the largest investment in its history, dedicating more than $100 million in state-of-the- art technology that will connect our hospitals, home care, long-term care, clinician offices, health centers and ancillary services with patients throughout the area. This transformational investment marks a major milestone for our healing ministry, which dates back more than 165 years.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Buffalo, NY, US

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