Authorization and Appeals Specialist

The Authorization/Appeal Specialist is responsible for filing appeals for all authorization denials and training and backing up Authorization Coordinators. The role involves starting and following up on the insurance authorization process, creating medical documents, updating patient files, and communicating with insurance companies and patients.

Requirements

• File appeals on all authorization that have been denied
• Start and follow up on the insurance authorization process
• Train and support Authorization Coordinators
• Create medical documents
• Update patient files with relevant information
• Communicate with insurance companies by fax, email and telephone
• Effective communication with patients, sales team and corporate staff regarding the status of the patient’s authorization
• Comply with all HIPAA and privacy regulations
• Adhere to laws and best practices in regards to dealing with patients and patient data
• Perform other job-related duties as assigned

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan