Medical Authorizations Specialist

1 day, 14 hours ago
Contract
Mid Level
Operations
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

  • Review patient information and determine authorization requirements.
  • Submit authorization requests and supporting documentation to insurance companies and payers.
  • Follow up on pending requests and monitor processing timelines.
  • Track approved, pending, denied, and expired authorizations.
  • Obtain authorization numbers and maintain accurate records in internal systems and spreadsheets.
  • Identify missing or incorrect information and resolve authorization-related issues with providers.
  • Monitor expiration dates and initiate renewals when needed.
  • Communicate authorization updates and requirements to clinical, administrative, and billing teams.
  • Escalate denied or complex cases and proactively resolve outstanding items.

Requirements

  • Hands-on experience with insurance authorizations is required.
  • Experience in a healthcare, medical, or insurance environment.
  • Strong understanding of insurance authorization processes.
  • Excellent verbal and written communication skills.
  • Strong attention to detail, accuracy, organization, and time management.
  • Ability to manage multiple requests and deadlines simultaneously.
  • Strong follow-through and proactive approach to outstanding requests.
  • Comfort using spreadsheets, online systems, and healthcare software.
  • Strong computer skills and ability to learn new systems quickly.
  • Ability to work independently while handling confidential patient and insurance information professionally.

Benefits

  • Full-time remote work.
  • US working hours: 9:00 AM–5:00 PM EST.
  • Compensation paid in South African Rand (ZAR).

Interested in this position?

Apply directly on the company website

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