Authorization Specialist II

61st Street Service Corp

Authorization Specialist II responsible for verifying insurance benefit information and securing authorizations for ColumbiaDoctors, a major healthcare provider.

Posted 7/15/2026full-timeNew York City • Connecticut, New Jersey, New York • 🇺🇸 United StatesJunior💰 $25 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in verifying insurance policy benefits, securing pre-authorizations, and navigating managed care eligibility. Proficient in medical terminology and experienced in using electronic billing systems to ensure compliance with insurance requirements.

Highest-signal resume keywords

Insurance VerificationPre-Authorization ManagementMedical Terminology ProficiencyEpic Electronic Billing ExperienceCustomer Service Orientation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Billing RequirementsDiagnosis CodingProcedure CodingPre-Certification ProcessesReferral Documentation

Soft Skills

Effective CommunicationTime ManagementMulti-TaskingPatient Focused Orientation

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookPractice Management System

Certifications & Qualifications

High School GraduateGED Certificate

Industry Keywords

Managed CarePayer AuthorizationHealthcare SettingClinical Documentation

About the role

Key responsibilities & impact

Responsible for verifying insurance policy benefit information, and securing payer required authorizations.
Obtains accurate and timely pre-authorizations for professional services prior to the patient's visit.
Verifies insurance coverage via system tools, payer portals, etc. and updates changes in billing system.
Confirms providers participation status with patients insurance plan/network.
Determines payer referral and authorization requirements for professional services.
Contacts patient and PCP to secure payer required referral for planned services.
Documents referral in practice management system.
Researches system notes to obtain missing or corrected insurance or demographic information.
Reviews clinical documentation to ensure criteria for procedure meets insurance requirements.
Initiates authorization and submits clinical documentation as requested by insurance companies.
Follows through on pre-certifications until final approval is obtained.
Communicates with surgical coordinators regarding authorizations status or denials.
Submits appeals in the event of denial of prior authorizations or denial of payment following procedures.
Serves as back-up to Authorization-Referrals Specialist III.

Requirements

What you’ll need

High school graduate or GED certificate is required.
A minimum of 1-year experience in a physicians billing or third payer environment.
Demonstrate the ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations.
Strong customer service and patient focused orientation.
Effective communication skills both verbally and written.
Ability to multi-task, prioritize, document, and manage time effectively.
Functional proficiency in computer software skills (e.g. Microsoft Word, Excel, Outlook).
Functional proficiency and comprehension of medical terminology.
Experience in Epic and/or other electronic billing systems is preferred.
Knowledge of medical terminology, diagnosis and procedure coding is preferred.
Previous experience in an academic healthcare setting is preferred.

Benefits

Comp & perks

Healthcare and various other benefits including Paid Time Off to promote a healthy lifestyle.