ZipRecruiter

Log In

1

Reauthorization Specialist Jobs (NOW HIRING)

Addus HomeCare

Reauthorization Specialist

Frisco, TX · On-site

$17 - $22.50/hr

The Reauthorization Specialist is responsible for managing all aspects of reauthorizations for client care. This includes re-verifying client eligibility, monitor insurance lifetime caps and prior ...

Addus HomeCare

Reauthorization Specialist

Frisco, TX · Remote

$16.75 - $22.50/hr

The Reauthorization Specialist is responsible for managing all aspects of reauthorizations for client care. This includes re-verifying client eligibility, monitor insurance lifetime caps and prior ...

Addus Homecare

Reauthorization Specialist

Frisco, TX · Remote

$16.75 - $22.50/hr

The Reauthorization Specialist is responsible for managing all aspects of reauthorizations for client care. This includes re-verifying client eligibility, monitor insurance lifetime caps and prior ...

VieMed

Reauthorization Specialist

Lafayette, LA · On-site

$14 - $18.50/hr

----- Duties: * Review and obtain necessary compliant documentation, medical records and prescriptions in order to submit for prior authorization with insurance. * Responsible for obtaining prior ...

next page

Showing results 1-20

All JobsReauthorization Specialist Jobs

Reauthorization Specialist information

What are the key skills and qualifications needed to thrive as a Reauthorization Specialist, and why are they important?

To thrive as a Reauthorization Specialist, you need a strong understanding of insurance processes, medical terminology, and healthcare regulations, often supported by experience in medical billing or healthcare administration. Familiarity with electronic health record (EHR) systems, insurance portals, and authorization management tools is typically required. Exceptional attention to detail, organizational skills, and effective communication are crucial soft skills for this role. These skills ensure timely and accurate processing of reauthorization requests, minimizing care delays and supporting efficient healthcare operations.

What is the difference between Reauthorization Specialist vs Claims Processor?

Reauthorization SpecialistClaims Processor
Focuses on obtaining prior authorizations for treatments or servicesReviews and processes insurance claims for payment
Requires knowledge of insurance policies and authorization proceduresRequires understanding of claims submission and coding
Works mainly in healthcare or insurance industriesWorks across various insurance and healthcare settings

The Reauthorization Specialist and Claims Processor roles both involve insurance processes but differ in focus. The Reauthorization Specialist primarily secures prior approvals for treatments, while the Claims Processor handles the billing and claims submission. Both roles require familiarity with insurance policies, but their daily tasks and objectives differ significantly.

What are some common challenges faced by Reauthorization Specialists and how can they be managed effectively?

Reauthorization Specialists often encounter tight deadlines and high volumes of requests, which can make managing workloads challenging. Staying organized and prioritizing urgent authorizations helps ensure timely approvals and prevents lapses in patient care. Additionally, clear communication with insurance providers and healthcare teams is essential to resolve discrepancies and gather required documentation efficiently. Utilizing electronic health record systems and maintaining up-to-date knowledge of payer guidelines also streamlines the process and reduces errors.

What are Reauthorization Specialists?

Reauthorization Specialists are healthcare professionals responsible for managing and securing approvals from insurance companies or payers for ongoing medical treatments, procedures, or medications. Their primary role is to ensure that patients continue to receive necessary services without interruption by handling all aspects of reauthorization, including gathering documentation, communicating with insurance providers, and tracking approval statuses. They work closely with healthcare providers, patients, and insurers to navigate complex insurance requirements and prevent delays in care. Strong organizational skills, attention to detail, and knowledge of medical terminology and insurance processes are essential for this role.
More about Reauthorization Specialist jobs
What job categories do people searching Reauthorization Specialist jobs look for? The top searched job categories for Reauthorization Specialist jobs are:
Reauthorization Specialist jobs near you
Infographic showing various Reauthorization Specialist job openings in the United States as of July 2026, with employment types broken down into 39% Locum Tenens, 8% Internship, 14% Full Time, 1% Part Time, 36% Nights, and 2% Summer. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution.
Reauthorization Specialist

Reauthorization Specialist

Addus HomeCare

Frisco, TX • On-site

$17 - $22.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Addus HomeCare rating

6.0

Company rating: 6.0 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

132nd of 235 rated social care providers

Job description

Position Summary: The Reauthorization Specialist is responsible for managing all aspects of reauthorizations for client care. This includes re-verifying client eligibility, monitor insurance lifetime caps and prior authorization periods.
Schedule: Remote Mon-Fri 40 hours per week.
>> We offer our team the best <<
  • Medical, Dental and Vision Benefits
  • Continued Education
  • PTO Plan
  • Retirement Planning
  • Life Insurance
  • Employee discounts

Process Intake, Reauthorization and Payer Transfers.
  • Process new intakes and reauthorization by reviewing referrals.
  • Ensure all services are authorized within required time frame to prevent laps in care.
  • Monitor authorization start and end date to proactively manage renewals and prevent expirations.
  • Follow up on pending authorization and communicate updates to the branch.

Documentation and Data Entry
  • Accurately enter and update authorization detail in the system, ensuring all information align with payer approvals.
  • Maintain complete, compliant, and well-organized patient records.
  • Review documentation for accuracy and consistency prior to submission or scanning.
  • Scan, upload and index authorization documents into the appropriate system and a timely manner.

Payor Transfer and Coordination
  • Handle payer transfers, ensuring authorization are updated and aligned with the new payer requirements.
  • Verify coverage details and authorization rules during payer change to maintain uninterrupted services.

Expired Reports and Requesting Authorization
  • Manage expired authorization report, identify discrepancies and take corrective action.
  • Track and resolve authorization issues that may effect billing, scheduling , or services.
  • Communicate with branches regarding or pending authoriztion and require next step.

Branch Support and Communications
  • Providing guidance and support related to authorization, documents and intake process.
  • Respond to branch inquiries promptly and collaborate to resolve authorization or documents issues.
  • Communication clearly and professionally via email and internal systems keep all parties informed.

Quality Assurance and Compliance
  • Ensure all process comply with payor guidelines, company policies and regulatory standards.
  • Identify errors or discrepancies and take corrective action to maintain data integrity.
  • Support workflow efficiency by proactively addressing issues before they impact patient care or operations.

Key Strengths/Requirements in the Role
  • Strong attention to detail accuracy in documents and data entry.
  • Effective communication and collaborations with branch teams.
  • Ability to manage high volume of authorization and deadlines.
  • Proactive problems-solving to prevent service disruptions
  • High school diploma or GED equivalent, some college preferred
  • 1-2 years of recent experience working in a health care setting and insurance authorizations
  • Excellent written and oral communication skills
  • Excellent customer service skills
  • Must be computer literate and possesses knowledge of computer software, Microsoft Excel (advance skills preferred), internet, Word and Outlook
  • Dependable, conscientious and reliable
  • Ability to analyze and interpret situations to complete tasks or duties assigned

To apply via text, text 11244 to 334-518-4376

What Addus HomeCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply