Case Management Associate, Life Insurance
Zinnia
Insurance Authorization Specialist
Solaris Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- The Insurance Authorization Specialist is responsible for securing insurance authorizations for medical services to ensure timely patient care and accurate reimbursement.
- Work closely with the Manager/Supervisor and Team Lead of Financial Clearance to escalate urgent or complex authorization cases.
- 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.
- Ensure all authorizations are obtained prior to the scheduled date of service to avoid delays or denials.
- Communicate with insurance carriers to gather necessary clinical documentation and follow up on pending requests.
- Support team objectives and contribute to departmental huddles and workflow optimization initiatives.
Requirements
- 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
- Ability to follow policies and procedures and enter data into various electronic systems while maintaining the integrity and accuracy of the data
- 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
- Able to work effectively under supervision and in a collaborative, team-oriented environment
Benefits
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
insurance verificationmedical terminologydata entrybillingauthorization trackingclinical documentationworkflow optimizationpayer contractsinsurance eligibilityreimbursement processes
Soft skills
organizational skillsattention to detailcustomer serviceanalytical skillsproblem-solving skillscollaborative skillsability to follow policieseffective communicationteam-orientedability to work under supervision
Certifications
High School DiplomaAssociate’s degree in healthcare administration
