Insurance Authorization Specialist

Solaris Health

Insurance Authorization Specialist managing insurance authorizations to ensure timely patient care and accurate reimbursement. Collaborative role under Financial Clearance management ensuring prior authorization accuracy and financial risk mitigation.

Posted 5/19/2026full-timeRemote • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

Responsible for securing insurance authorizations for medical services to ensure timely patient care and accurate reimbursement
Initiate and track insurance prior authorizations for scheduled procedures, imaging, and other medical services
Verify insurance eligibility and benefits using payer portals or through direct contact with payers
Accurately document authorization statuses in the electronic medical record (EMR) and Practice Management (PM) system
Ensure all authorizations are obtained prior to the scheduled date of service to avoid delays or denials
Work closely with the Manager/Supervisor and Team Lead of Financial Clearance to escalate urgent or complex authorization cases
Support team objectives and contribute to departmental huddles and workflow optimization initiatives
Participate in ongoing training and feedback sessions led by the Supervisor to enhance performance and process compliance
Communicate with insurance carriers to gather necessary clinical documentation and follow up on pending requests
Identify and report recurring payer issues or trends to the Supervisor for team-level resolution or escalation
Inform patients of authorization status, potential delays, and what to expect if coverage issues arise
Coordinate with patient estimation staff to ensure authorizations align with cost estimates and pre-service collections efforts
Performs other position related duties as assigned

Requirements

What you’ll need

High School Diploma or equivalent required
Associate’s degree in healthcare administration, billing, or related field preferred
Minimum 1 year of experience in medical office, insurance verification, or healthcare billing
Comprehensive understanding of insurance verification, contract benefits and medical terminology
Professional verbal and written communication skills
Proficient in payer portals, EMR systems, and Microsoft Office
Excellent organizational skills and attention to detail
Excellent customer service skills
Strong analytical and problem-solving skills

Benefits

Comp & perks

Health insurance
Dental insurance
Vision insurance
Life Insurance
Pet Insurance
Health savings account
Paid sick time
Paid time off
Paid holidays
Profit sharing
Retirement plan

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

insurance authorizationsinsurance verificationmedical terminologybillingdocumentationworkflow optimizationclinical documentationproblem-solvingattention to detailcustomer service

Soft Skills

communicationorganizational skillsanalytical skillsteam collaborationescalationtraining participationperformance enhancementpatient interactionissue reportingsupporting team objectives

Certifications

High School DiplomaAssociate’s degree in healthcare administration