Authorization Specialist

Authorization Specialist supports timely access to medically necessary services by coordinating and managing authorization processes across commercial and government payors. Responsible for translating payor requirements into clear guidance, supporting appeals processes, and minimizing service disruptions.

Requirements

• Serve as a resource to clinicians regarding payor-specific requirements, timelines, and documentation expectations.
• Coordinate submission of initial authorizations and reauthorizations through designated authorization platforms.
• Monitor authorization expiration timelines and assist in coordinating timely re-submissions.
• Maintain working knowledge of commercial and government payor policies and authorization processes.
• Assist with preparation and submission of appeals for partial or full denials under direction of leadership or clinical partners.