Job Description

The Insurance Authorization Specialist works under the supervision of the Billing Manager. The primary functions of this position are to obtain patient eligibility information and verify insurance coverage, document eligibilities in the electronic medical record system and/or to process insurance authorization request and inquiries new existing services and other resources in the community, initiate insurance authorizations, assist with and complete data entry, facilitate the referral intake process for patients in all stages of life, facilitate the flow of patient information to/from staff nurses, patients and physicians, and to assist staff with problem solving.





1. Assess referrals as they are called or arrive in the office for patient eligibility information and verification and/or insurance authorization needs or data entry needs. Collaborates with coordinators for disposition of referrals.

2. Interprets department policies, reimbursement and coverage guidelines for referral sources and general public.

3. Appropriately communicates information according to department policies and procedures.

4. Contributes to program effectiveness.

5. Organizes and performs work effectively and efficiently.

6. Maintains and adjusts schedule to enhance department performance.

7. Demonstrates positive interpersonal relations in dealing with all members of the organization.

8. Maintains and promotes customer loyalty.

9. Effectively demonstrates the mission, vision and values of the agency on a daily basis.

10. Maintains confidentiality.

11. Hours are Monday - Friday 8am-5pm Fully remote!