Job Description
Description
We are seeking a detail-oriented Insurance Authorization Specialist to support timely and accurate insurance verification and prior authorization processes. This role is responsible for reviewing patient and provider information, obtaining required authorizations, confirming coverage, and helping ensure claims are processed efficiently. The ideal candidate has strong knowledge of insurance guidelines, excellent communication skills, and the ability to manage multiple cases in a fast-paced environment.
Hours: Monday - Friday 8am -5pm
Key Responsibilities
+ Verify insurance eligibility, benefits, and coverage details
+ Obtain prior authorizations and pre-certifications for services, procedures, and medications
+ Communicate with insurance carriers, providers, patients, and internal teams regarding authorization requirements and status updates
+ Review documentation for completeness and accuracy before submission
+ Track authorization requests, approvals, denials, and expirations
+ Follow up on pending and denied authorizations and escalate issues as needed
+ Maintain accurate records in billing, practice management, or electronic health record systems
+ Ensure compliance with payer guidelines, healthcare regulations, and company policies
+ Assist with appeals and supporting documentation for denied requests
+ Collaborate with clinical, billing, and administrative teams to reduce delays in service and reimbursement
Requirements
+ High school diploma or equivalent required; associate degree preferred
+ 1+ years of experience in insurance authorization, medical billing, healthcare administration, or a related role preferred
+ Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans
+ Familiarity with prior authorization and eligibility verification processes
+ Experience with electronic health records and insurance portals
+ Strong attention to detail and organizational skills
+ Excellent verbal and written communication skills
+ Ability to manage deadlines and work independently in a high-volume environment
TalentMatch®
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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