Authorizations Specialist

1 hour, 48 minutes ago
Full-time
Junior
Customer and Technical Support
Reworks Solutions

Reworks Solutions

ReWorks Solutions provides rigorously vetted, native English-speaking remote professionals backed by white-glove management and proactive support.

Internet Software & Services

Description

  • Obtain and process prior authorizations for medical procedures, services, and medications.
  • Verify insurance eligibility, benefits, and authorization requirements.
  • Communicate with insurance providers, healthcare offices, and patients about authorization status.
  • Submit accurate clinical and demographic information to insurance companies.
  • Track and follow up on pending authorizations to secure timely approvals.
  • Maintain detailed records in billing and EMR systems.
  • Identify and resolve authorization-related denials or discrepancies.
  • Ensure compliance with payer guidelines and company policies.
  • Collaborate with billing, scheduling, and clinical teams to support workflow efficiency.
  • Monitor authorization expirations and renewals as needed.

Requirements

  • High school diploma or equivalent required; associate or bachelor’s degree preferred.
  • Previous experience in medical billing, authorizations, or healthcare administration.
  • Knowledge of insurance verification and prior authorization processes.
  • Familiarity with CPT, ICD-10, and HCPCS codes preferred.
  • Experience working with EMR/EHR and medical billing software.
  • Strong attention to detail and organizational skills.
  • Excellent communication and customer service abilities.
  • Ability to manage multiple tasks and meet deadlines.
  • Understanding of HIPAA regulations and healthcare compliance standards.
  • Ability to work independently and collaboratively in a fast-paced environment.

Benefits

  • Remote work from home.
  • Comfortable working U.S. hours (9am–5pm EST).
  • Salary paid in South African Rand (ZAR).
  • Fraud protection notice: ReWorks Solutions will never request payment during recruitment or require in-person office visits.
  • Official communication will come from a ReWorks Solutions email address.

Interested in this position?

Apply directly on the company website

Apply Now

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