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Role Description

• Initiate and manage the prior authorization process, ensuring all required documentation is submitted accurately and timely.
• Communicate with healthcare providers, patients, and insurance companies to clarify and resolve authorization requests.
• Maintain up-to-date knowledge of insurance policies and coverage guidelines.
• Track authorization statuses and follow up diligently to ensure approvals are obtained before services are rendered.
• Document all interactions, authorization outcomes, and follow-up steps in the system.
• Provide support and education on the authorization process to staff and patients as needed.

Qualifications

• High school diploma or equivalent required; Associate's degree in healthcare or related field preferred.
• Minimum 2 years of experience in a similar role, preferably in a healthcare setting.
• In-depth knowledge of medical terminology, insurance verification, and authorization procedures.
• Strong analytical skills with attention to detail.
• Excellent verbal and written communication abilities.
• Proficient with electronic health records (EHR) systems and Microsoft Office Suite.
• Ability to work in a fast-paced, remote environment with minimal supervision.
• Comfortable working U.S. hours.

Requirements

• Remote work from home.

Fraud Disclaimer

ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.