... insurance plans. The Liaison is also responsible researching and notifying family of co-payment responsibilities. Referrals and authorizations are obtained prior to the date of service. During the ...
... insurance plans. The Liaison is also responsible researching and notifying family of co-payment responsibilities. Referrals and authorizations are obtained prior to the date of service. During the ...
Maintaining confidentiality, verify patient demographics, insurance eligibility, benefits, and financial responsibility. * Ability to request/obtain authorizations/referrals for Orthopedic patients ...
Maintaining confidentiality, verify patient demographics, insurance eligibility, benefits, and financial responsibility. * Ability to request/obtain authorizations/referrals for Orthopedic patients ...
Maintaining confidentiality, verify patient demographics, insurance eligibility, benefits, and financial responsibility. * Ability to request/obtain authorizations/referrals for Orthopedic patients ...
Maintaining confidentiality, verify patient demographics, insurance eligibility, benefits, and financial responsibility. * Ability to request/obtain authorizations/referrals for Orthopedic patients ...
Maintaining confidentiality, verify patient demographics, insurance eligibility, benefits, and financial responsibility. * Ability to request/obtain authorizations/referrals for Orthopedic patients ...
Maintaining confidentiality, verify patient demographics, insurance eligibility, benefits, and financial responsibility. * Ability to request/obtain authorizations/referrals for Orthopedic patients ...
Prior Authorization Imaging Specialist
New Castle, DE · On-site
$17.50 - $23.25/hr
Responsible for all facets of office and hospital based surgical prior authorization management ... Verify all demographic and insurance information in patient registration of the practice management ...
Prior Authorization Imaging Specialist
New Castle, DE · On-site
$17.50 - $23.25/hr
Responsible for all facets of office and hospital based surgical prior authorization management ... Verify all demographic and insurance information in patient registration of the practice management ...
Prior Authorization Imaging Specialist
New Castle, DE · On-site
$20 - $23/hr
Responsible for all facets of office and hospital based surgical prior authorization management ... Verify all demographic and insurance information in patient registration of the practice management ...
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Prior Authorization Imaging Specialist
New Castle, DE · On-site
$20 - $23/hr
Responsible for all facets of office and hospital based surgical prior authorization management ... Verify all demographic and insurance information in patient registration of the practice management ...
Front Office Assistant II
Dover, DE · On-site
$15.75 - $20.75/hr
Facilitate instructions for pre-surgery and day-of surgery to patients. 4. Obtain insurance authorizations/referrals. Upon patient arrival, initiate proper forms for the medical and financial record.
Front Office Assistant II
Dover, DE · On-site
$15.75 - $20.75/hr
Facilitate instructions for pre-surgery and day-of surgery to patients. 4. Obtain insurance authorizations/referrals. Upon patient arrival, initiate proper forms for the medical and financial record.
Front Office Assistant II
Dover, DE · On-site
$15.75 - $20.75/hr
Facilitate instructions for pre-surgery and day-of surgery to patients. 4. Obtain insurance authorizations/referrals. Upon patient arrival, initiate proper forms for the medical and financial record.
Front Office Assistant II
Dover, DE · On-site
$15.75 - $20.75/hr
Facilitate instructions for pre-surgery and day-of surgery to patients. 4. Obtain insurance authorizations/referrals. Upon patient arrival, initiate proper forms for the medical and financial record.
Front Office Assistant II
Dover, DE · On-site
$15.75 - $20.75/hr
Facilitate instructions for pre-surgery and day-of surgery to patients. 4. Obtain insurance authorizations/referrals. Upon patient arrival, initiate proper forms for the medical and financial record.
Front Office Assistant II
Dover, DE · On-site
$15.75 - $20.75/hr
Facilitate instructions for pre-surgery and day-of surgery to patients. 4. Obtain insurance authorizations/referrals. Upon patient arrival, initiate proper forms for the medical and financial record.
Medical Assistant II
Milford, DE · On-site
$17 - $22/hr
... insurance authorizations, following current insurance authorization procedures. 7. Schedules new and follow up patient appointments. Schedule referrals to other providers as needed. 8. Maintain ...
Medical Assistant II
Milford, DE · On-site
$17 - $22/hr
... insurance authorizations, following current insurance authorization procedures. 7. Schedules new and follow up patient appointments. Schedule referrals to other providers as needed. 8. Maintain ...
Medical Assistant II
Dover, DE · On-site
$17.75 - $22.75/hr
... insurance authorizations, following current insurance authorization procedures. 7. Schedules new and follow up patient appointments. Schedule referrals to other providers as needed. 8. Maintain ...
Medical Assistant II
Dover, DE · On-site
$17.75 - $22.75/hr
... insurance authorizations, following current insurance authorization procedures. 7. Schedules new and follow up patient appointments. Schedule referrals to other providers as needed. 8. Maintain ...
Medical Assistant II
Dover, DE · On-site
$17.75 - $22.75/hr
... insurance authorizations, following current insurance authorization procedures. 7. Schedules new and follow up patient appointments. Schedule referrals to other providers as needed. 8. Maintain ...
Medical Assistant II
Dover, DE · On-site
$17.75 - $22.75/hr
... insurance authorizations, following current insurance authorization procedures. 7. Schedules new and follow up patient appointments. Schedule referrals to other providers as needed. 8. Maintain ...
Medical Assistant II
Milford, DE · On-site
$17 - $22/hr
... insurance authorizations, following current insurance authorization procedures. 7. Schedules new and follow up patient appointments. Schedule referrals to other providers as needed. 8. Maintain ...
Medical Assistant II
Milford, DE · On-site
$17 - $22/hr
... insurance authorizations, following current insurance authorization procedures. 7. Schedules new and follow up patient appointments. Schedule referrals to other providers as needed. 8. Maintain ...
Insurance Verification Specialist
Wilmington, DE · On-site
$22/hr
Pre-authorization & Authorization: Obtain pre-authorizations or referrals required by insurance companies for specific treatment services. Responsible for submitting documentation to support ...
Insurance Verification Specialist
Wilmington, DE · On-site
$22/hr
Pre-authorization & Authorization: Obtain pre-authorizations or referrals required by insurance companies for specific treatment services. Responsible for submitting documentation to support ...
Join our team as a Physician Authorization/Referral Specialist , where you'll play a vital role in ... They verify insurance eligibility and benefits, calculate and communicate patient cost estimates ...
Join our team as a Physician Authorization/Referral Specialist , where you'll play a vital role in ... They verify insurance eligibility and benefits, calculate and communicate patient cost estimates ...
Insurance Verification Specialist
Wilmington, DE · On-site
$18 - $22/hr
Identify and communicate any coverage issues, discrepancies, or authorization requirements to appropriate staff and/or patients. * Collect, enter, and update patient demographic and insurance ...
Insurance Verification Specialist
Wilmington, DE · On-site
$18 - $22/hr
Identify and communicate any coverage issues, discrepancies, or authorization requirements to appropriate staff and/or patients. * Collect, enter, and update patient demographic and insurance ...
Patient Access Specialist I
Dover, DE · On-site
$17.25 - $23/hr
Notify supervisor of any insurance authorization issues. 7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies. 8. Perform point ...
Patient Access Specialist I
Dover, DE · On-site
$17.25 - $23/hr
Notify supervisor of any insurance authorization issues. 7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies. 8. Perform point ...
Patient Access Specialist I
Dover, DE · On-site
$17.25 - $23/hr
Notify supervisor of any insurance authorization issues. 7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies. 8. Perform point ...
Patient Access Specialist I
Dover, DE · On-site
$17.25 - $23/hr
Notify supervisor of any insurance authorization issues. 7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies. 8. Perform point ...
Patient Access Specialist I
$13.75 - $18.25/hr
Notify supervisor of any insurance authorization issues. 7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies. 8. Perform point ...
Patient Access Specialist I
$13.75 - $18.25/hr
Notify supervisor of any insurance authorization issues. 7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies. 8. Perform point ...
Insurance Coordinator
Newark, DE · On-site
$19 - $21/hr
Communicate with insurance companies to obtain pre-authorizations for treatments. * Assist patients in understanding their insurance coverage and estimated costs. * Submit accurate and timely ...
Insurance Coordinator
Newark, DE · On-site
$19 - $21/hr
Communicate with insurance companies to obtain pre-authorizations for treatments. * Assist patients in understanding their insurance coverage and estimated costs. * Submit accurate and timely ...
Insurance Authorization information
See Delaware salary details
$25.5K - $30.8K
3% of jobs
$30.8K - $36.1K
3% of jobs
$36.1K - $41.4K
4% of jobs
$41.4K - $46.6K
3% of jobs
$46.6K - $51.9K
2% of jobs
$51.9K - $57.2K
3% of jobs
$60.4K is the 25th percentile. Wages below this are outliers.
$57.2K - $62.5K
10% of jobs
$62.5K - $67.7K
19% of jobs
The median wage is $68.3K / yr.
$67.7K - $73K
19% of jobs
$75.7K is the 75th percentile. Wages above this are outliers.
$73K - $78.3K
16% of jobs
$78.3K - $83.6K
17% of jobs
$25.5K
$65.7K
$83.6K
How much do insurance authorization jobs pay per year?
What is an Insurance Authorization job?
An Insurance Authorization job involves verifying patient insurance coverage and obtaining necessary approvals before medical services are provided. Professionals in this role communicate with insurance companies, healthcare providers, and patients to ensure procedures are covered. They also handle documentation, follow up on pending requests, and assist in resolving authorization issues. Strong attention to detail and knowledge of insurance policies are essential for success in this role.
What are the key skills and qualifications needed to thrive in the Insurance Authorization position, and why are they important?
To excel in Insurance Authorization, you generally need knowledge of healthcare insurance procedures, attention to detail, and experience with medical terminology or health administration. Familiarity with insurance verification systems, EHRs, and payer portals is highly valued, and some positions may require certification in medical billing and coding. Strong organizational skills, clear communication, and customer service orientation help set top performers apart. These competencies ensure accurate authorization processes, minimize claim denials, and maintain effective communication among patients, providers, and insurers.
What are the typical challenges faced in an Insurance Authorization role, and how are they addressed?
Working in Insurance Authorization often involves navigating complex insurance policies, staying updated with changing payer requirements, and handling high volumes of patient cases within tight deadlines. Effective team collaboration and strong problem-solving skills are essential to resolve issues such as denied claims or missing documentation. Many employers provide initial and ongoing training, along with access to supervisors or a supportive team, to help address these challenges. By staying organized and proactive in communication, Insurance Authorization professionals can efficiently manage their workload and ensure timely patient care.
Other
Posted 6 days ago
Job description
Nemours is seeking an Orthopedic Authorization Liaison to join our Nemours Children's Health team in Wilmington, DE.
The Orthopedic Authorization Liaison is responsible for optimizing payment of services by obtaining and processing Elective, Urgent, and Emergent referrals and authorizations for Orthopedic patients with non-participating insurance including but not limited to out-of-state Medicaid plans and commercial insurance plans. The Liaison is also responsible researching and notifying family of co-payment responsibilities. Referrals and authorizations are obtained prior to the date of service. During the referral process the Liaison will partner with the Primary Care Practitioner to obtained required referrals. The Liaison will be a leader in working with outside groups to educate around the referral/auth process. During the authorization and notification process the Liaison will provide the payor with all patient information and requested documentation necessary to obtain admission approval. This role is required to utilize all available resources to verify eligibility, benefit levels, and patient copayment responsibilities.
This position collaborates with: Hospital and Physician Authorization departments, non-Nemours physician offices, managed care department, Nemours Physicians, and Departmental Administrative Staff to ensure that accurate information is collected and distributed effectively and efficiently. The Liaison utilizes daily reports and work queues to complete follow up on non-approved cases and assure completion prior to appointment or admission date according to department standards. In addition, the Liaison will report weekly on payor issues, barriers impacting workflows, and specific issues that could result in a non-reimbursable visit. The Liaison will have the ability to cover all referral and authorization types and demonstrate effective utilization of EPIC applications as indicated by performance measures. This position will also assist with educating the Orthopedic Surgical Coordinators and other clinical and non-clinical team members on high-level processes and act as a resource for the department.
Essential Functions
- Ensure timely notification and request for authorization/referrals is handled in accordance with policy and payor requirements.
- Maintaining confidentiality, verify patient demographics, insurance eligibility, benefits, and financial responsibility.
- Ability to request/obtain authorizations/referrals for Orthopedic patients with non-participating insurance.
- Contact families, primary care providers, and other allied health professionals to obtain necessary information and assist with insurance issues preventing authorization/referrals.
- Knowledge of participating and non-participating insurances, billing, Epic work queues, insurance authorization requirements, CPT and ICD-10 codes, managed care, utilization management, financial estimates, and medical terminology.
- Develop spreadsheets and databases to analyze data, track authorization and denial trends, and report patterns.
- Clearly document all communications and contacts with payors and families in standardized documentation requirements including proper format.
- Provides back-up to the Access Center Specialist role as needed.
Requirements
High School Diploma or equivalent required; Associate's Degree preferred
Certified Revenue Cycle Representative (CRCR) and/or Certified Healthcare Financial Professional (CHFP) is required
SuperUser certification is preferred
Minimum five years of referral and / or authorization experience is required.