Authorization Specialist

New England Life Care

Remote Authorization Specialist for New England Life Care seeking to obtain patient medication authorizations and support billing processes. Requires 3 years authorization or billing experience in specified US states.

Posted 7/3/2026full-timeRemote • Connecticut, Florida, Maine, Maryland, Massachusetts, New Hampshire, North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $22 per hourWebsite

About the role

Key responsibilities & impact

Obtain and maintain prior authorization status for NELC patient medications/therapies
Work closely with the clinical review department to obtain documentation needed to complete the authorization process
Obtain needed documentation to support the billing department in meeting payer requirements for patient accounts

Requirements

What you’ll need

At least three years of authorization or billing experience
High School Diploma or equivalent required
Minimum of 2 years authorization, reimbursement, or claims processing experience required
Practical experience with medical terminology; CPT, ICD-9 and HCPC coding preferred
Practical experience with Medicare, Medicaid and third-party payor contracts preferred
Knowledge of HIPAA Privacy and Security requirements preferred
Excellent organizational skills required
Basic accounting transaction/analyst skills required
Demonstrated ability to identify research and solve problems required
Ability to work independently as well as part of a team required
Practical experience with Microsoft computer systems and applications, to include Word & Excel

Benefits

Comp & perks

Remote position
Room for growth and potential for advancement
Health insurance
Dental insurance
Vision insurance
Generous employer-matched 403b savings program
Company paid: Life insurance, Short- and long-term disability insurance
Paid time off
And much more!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Authorization ProcessingClaims ProcessingMedical TerminologyCPT CodingICD-9 CodingHCPC CodingBasic Accounting SkillsReimbursement KnowledgePayer RequirementsDocumentation Support

Soft Skills

Organizational SkillsProblem-Solving AbilityTeam CollaborationIndependent Work