Detail-oriented and experienced, the fully remote Medical Authorization Specialist will manage prior authorizations for surgical procedures, review clinical documentation for payer compliance, and ensure timely patient care in a high-volume healthcare environment. Key responsibilities Submit and manage prior authorization requests for surgical and procedural services Review patient charts and supporting documentation to ensure medical necessity requirements are met Communicate with insurance companies, providers, and internal departments to resolve authorization-related issues Required qualifications High school diploma or equivalent required 1-2+ years of prior authorization experience in a medical or healthcare revenue cycle environment required Strong understanding of medical prior authorizations and payer guidelines Experience working with insurance portals and authorization workflows required Prior experience with surgical authorizations strongly preferred
Medical Authorization Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.