Key Facts

Remote From:

Full time

English

Hard Skills

Medical Billing Cerner EHR Prior Authorization Medical Coding Client Education Patient Education And Counseling Health Policies Insurance Policies Authorization (Computing) Clinical Documentation Remote Administration

Other Skills

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Record Keeping
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Microsoft Office
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Multitasking
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Time Management
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Organizational Skills
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Detail Oriented
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Verbal Communication Skills
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Self-Motivation

Roles & Responsibilities

Associate's degree in healthcare administration or related field; Bachelor's degree preferred.
Previous experience in authorization or prior authorizations within a healthcare administrative role.
Strong knowledge of medical billing, coding, and insurance protocols.
Proficient in EHR systems and common office software; ability to work independently in a remote environment.

Requirements:

Request and secure prior authorizations from insurance companies for medically necessary services.
Maintain meticulous records of authorization requests and follow up on pending approvals to avoid delays in patient care.
Communicate effectively with healthcare providers, patients, and insurance representatives to resolve authorization issues.
Stay informed about payer policies and requirements to ensure compliance and optimize authorization processes.

ReWorks Solutions

About ReWorks Solutions

At ReWorks Solutions, we help businesses scale smarter by blending cost-effective outsourcing with high-performance teams and strategic operations. We don’t just fill positions—we handpick top talent and seamlessly integrate them into your workflow, ensuring efficiency, quality, and real results. Our proven process streamlines operations, reduces costs, and boosts productivity, giving U.S. and international businesses access to highly skilled professionals without compromising on quality. Whether you need a dedicated remote team or specialized support, we tailor our solutions to fit your business needs. Why Choose Us? ✅ Top-Tier Talent: We carefully curate professionals who match your company’s culture and expertise requirements. ✅ Cost-Effective Solutions: Reduce overhead costs without sacrificing quality or efficiency. ✅ Seamless Integration: We make outsourcing easy, ensuring smooth collaboration with your in-house team. ✅ Scalable & Flexible: Whether you need a small team or a full-scale operation, we grow with your business. ✅ Results-Driven Approach: We focus on real impact—helping you optimize operations and achieve your goals. Let’s Build Your Dream Team! Ready to unlock the power of smart outsourcing? Connect with us today and let’s build a high-performing, cost-efficient team that drives your business forward.

Founded: 2018

Company size: 11 - 50

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Job description

Job Title: Authorization Specialist

Job Type: Full-Time, Remote

Working Hours: US Hours (9am-5pm EST)

Key Responsibilities

Request and secure prior authorizations from insurance companies for medically necessary services.
Maintain meticulous records of authorization requests and follow up on pending approvals to avoid delays in patient care.
Communicate effectively with healthcare providers, patients, and insurance representatives to resolve authorization issues.
Stay informed about payer policies and requirements to ensure compliance and optimize authorization processes.
Educate patients and providers on authorization-related matters, helping them understand the importance of this process.
Document all interactions and outcomes in the electronic health record (EHR) system accurately.

Requirements

Associate's degree in healthcare administration or a related field; Bachelor's degree preferred.
Previous experience in authorization, prior authorizations, or a related administrative healthcare role.
Strong knowledge of medical billing, coding, and insurance protocols.
Excellent organizational and multitasking abilities, with keen attention to detail.
Outstanding verbal and written communication skills for effective interaction with stakeholders.
Proficient in EHR systems and common office software.
Ability to work independently in a remote environment while managing time efficiently.

Benefits

Comfortable working U.S. hours
Remote work from home

Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.

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