[Hiring] Authorization Specialist @ReWorks Solutions

Role Description

• Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery.
• Prepare, submit and follow up on medical billing claims to insurance companies and patients.
• Communicate with healthcare providers, insurance payers, and patients to resolve billing and authorization issues.
• Maintain accurate records within EHR and billing systems, ensuring compliance with payer policies and regulations.
• Monitor authorization approvals and denials, taking appropriate action to resolve discrepancies.
• Support billing audits and reconciliation processes to ensure revenue integrity.

Qualifications

• Associate's degree in healthcare administration, medical billing, or related field preferred.
• At least 2 years of experience in medical billing and authorization processes.
• Proficiency with billing software, electronic health records (EHR), and Microsoft Office Suite.
• Strong understanding of medical terminology, coding (CPT, ICD-10), and insurance policies.
• Excellent organizational skills with high attention to detail.
• Strong communication skills to collaborate effectively with multiple stakeholders.
• Ability to work independently in a remote, fast-paced environment.
• Comfortable working U.S. hours.

Requirements

• Remote work from home.

Company Description

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.