Authorization Specialist II

SouthEast Alaska Regional Health Consortium (SEARHC)

Authorization Specialist managing authorizations for patient services in a non-profit health consortium. Collaborating with payers and clinical staff to ensure effective service delivery.

Posted 7/18/2026full-timeRemote • Alaska • 🇺🇸 United StatesJuniorMid-Level💰 $25 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in insurance authorization processes, medical terminology, and effective communication with patients and healthcare professionals. Proficient in data entry, customer service, and maintaining compliance with healthcare policies and procedures.

Highest-signal resume keywords

Insurance AuthorizationMedical Terminology ICD-10CM, CPT & HCPCSCHAA CertificationCustomer Service PrinciplesData Entry and Reporting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance AuthorizationMedical Terminology ICD-10CM, CPT & HCPCSData EntryInsurance Benefits VerificationElectronic Medical Record ManagementAnatomy and Physiology KnowledgeConflict Resolution SkillsMulti-taskingProblem SolvingOffice Equipment Operation

Soft Skills

Effective CommunicationInterpersonal SkillsOrganizational SkillsAttention to DetailCustomer Service Skills

Tools & Technologies

Database ManagementComputer ApplicationsElectronic Medical Record Systems

Certifications & Qualifications

CHAA Certification

Industry Keywords

HealthcarePatient ServicesRevenue CycleTribal Health ProgramsCompliance and Ethics

About the role

Key responsibilities & impact

Works with payers and SEARHC clinical staff to obtain initial and ongoing authorizations for patient services
Verifies insurance benefits for each patient
Obtain authorizations for patients in accordance with the payer-provider contracts
Responsible for tracking and correcting all pertinent insurance information in the electronic medical record
Maintain strong working relationships with payers, SEARHC billing staff, and all other interdepartmental staff
Provide excellent customer service
Critical for reimbursement of costs relating to high dollar procedures and services provided to our patients
Accurately captures and records inbound and outbound authorizations for patients and/or referring physician’s offices
Carries out due diligence to obtain authorizations from various insurance carriers via phone, in writing or email
Processes authorization-related denials and coordinates the appeal process with the appropriate Revenue Cycle staff members and clinical team
Work closely with the Financial Counselors and Patient Access team to ensure coverage is current and documented appropriately in the record
Ensure efficient documentation of information for insurance verification, registration and billing requirements and follows-up as needed
Responds to inquiries regarding status of authorization(s) by assessing the request and evaluating the circumstances to provide the needed information
Communicates effectively with patients, physicians, and/or other departments regarding delays or issues relating to authorizations and patient appointments
Meets team metric standards and expectations consistently
Maintains strict confidentiality at all times
Identifies compliance/ethics issues and brings forth recommendations for operational improvement
Ensures successful adherence to policies, procedures and changes to the organization
Complete and support additional patient access related activities as assigned

Requirements

What you’ll need

High School Diploma or equivalent – required
CHAA Certification within 6 months of hire
Two years of experience as an Authorization Specialist - preferred
Two years of working in a healthcare, office, or customer service setting may be substituted
Knowledge of Understanding and/or willing to learn tribal health programs and alternate resources
Knowledge and demonstrated use of customer service principles
Knowledge of data entry, retrieval, and reporting
Medical Terminology ICD-10CM, CPT & HCPCS codes
Insurance authorization and benefits
Anatomy and physiology
General office functions, office equipment, and computer applications
Detail oriented with above average organizational skills
Skills in Effective oral and written communication skills
Skills in using a database
Skills in operating a computer utilizing a variety of software applications
Working independently and as a team
Good interpersonal, verbal, and written communication
Strong attention to detail
Ability to multi-task and work independently in a fast paced environment
Ability to respond quickly in urgent situations with attention to detail
Ability to problem solve and use conflict resolution skills
Prioritize work in multi-task in a fast-paced office setting with many interruptions
Self-start and willingness to learn
Read and comprehend simple instructions, short correspondence, and memos
Demonstrate time-management, organizational, and customer service skills
Work flexible hours with limited unplanned absence
Handle difficult customer situations in a positive manner
Interact with external healthcare professionals in a variety of settings
Effectively prioritize multiple ongoing tasks and responsibilities under pressure at a steady pace in an unpredictable environment
Maintain a professional demeanor with physician and clinical team when addressing concerns regarding imaging orders/diagnoses

Benefits

Comp & perks

$1,000 Sign On Bonus at start
$1,000 Bonus after 12 months for qualified hire!
Health insurance
Retirement plans
Paid time off
Paid parental leave
Dental and vision benefits
Life insurance
Long and short-term disability