Authorization Specialist
What You’ll Be Doing:
As an Authorization Specialist, your responsibilities might evolve as we scale. Your initial responsibilities will include:
Accurately and efficiently submit prior authorization requests to insurance payers based on clinical and administrative requirements.
Regularly track, follow up, and update the status of submitted authorizations to ensure timely approvals
Research and find solutions to denied claims.
Complete outbound calls to insurance carrier supervisors to investigate denial reasons.
Resubmit claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
Ensures compliance by staying current with payer-specific authorization guidelines and maintains compliance with HIPAA and company policies.
Draft appeals for relevant claim denials, adhering to medical policies for all insurance carriers
Ensure patient data in all systems is accurate and up-to-date, reaching out to the appropriate contacts to resolve any inconsistencies.
Collaborate with internal teams to gather required documentation and clarify payer requirements as needed.
Prioritize workflows based on the age of claims.
The base compensation range for this position is $52,000 USD.
The base compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate's working location.
You’ll Be a Good Fit If You Are:
Process-driven: Highly organized, operational thinker, rarely leaving questions unanswered.
Adaptable: You are comfortable in a fast-paced environment, with priorities changing weekly.
Healthcare Experienced: Strong understanding of healthcare claims, plan benefits, and patient responsibilities. At least 2 years of experience in Medical Billing or Healthcare setting.
Team Player: You are collaborative by nature, relish in camaraderie and group wins, and are looked to by colleagues or direct reports as a steadfast partner & source of encouragement
If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.
Note: Please upload your resume in PDF format
Authorization Specialist
What You’ll Be Doing:
As an Authorization Specialist, your responsibilities might evolve as we scale. Your initial responsibilities will include:
Accurately and efficiently submit prior authorization requests to insurance payers based on clinical and administrative requirements.
Regularly track, follow up, and update the status of submitted authorizations to ensure timely approvals
Research and find solutions to denied claims.
Complete outbound calls to insurance carrier supervisors to investigate denial reasons.
Resubmit claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
Ensures compliance by staying current with payer-specific authorization guidelines and maintains compliance with HIPAA and company policies.
Draft appeals for relevant claim denials, adhering to medical policies for all insurance carriers
Ensure patient data in all systems is accurate and up-to-date, reaching out to the appropriate contacts to resolve any inconsistencies.
Collaborate with internal teams to gather required documentation and clarify payer requirements as needed.
Prioritize workflows based on the age of claims.
The base compensation range for this position is $52,000 USD.
The base compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate's working location.
You’ll Be a Good Fit If You Are:
Process-driven: Highly organized, operational thinker, rarely leaving questions unanswered.
Adaptable: You are comfortable in a fast-paced environment, with priorities changing weekly.
Healthcare Experienced: Strong understanding of healthcare claims, plan benefits, and patient responsibilities. At least 2 years of experience in Medical Billing or Healthcare setting.
Team Player: You are collaborative by nature, relish in camaraderie and group wins, and are looked to by colleagues or direct reports as a steadfast partner & source of encouragement
If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.
Note: Please upload your resume in PDF format