[Hiring] Authorization Specialist @Allegiance Mobile Health

Role Description

This position is responsible for obtaining, verifying, and documenting insurance authorizations, notifications, and referrals for ground ambulance transports in support of the Revenue Cycle department. This position is performed in a fully remote work environment. The Authorization Specialist works with payers, facilities, dispatch, and billing to secure approval for non-emergency, scheduled, and inter-facility transports before service whenever possible, and to resolve retrospective authorization needs promptly after service. These efforts help ensure claims are properly supported and prevent denials related to missing authorizations. This role requires the ability to work independently, manage time effectively, and maintain HIPAA-compliant data security while operating outside a traditional office setting.

Qualifications

• High School Diploma required; associate degree preferred.
• Minimum of two years of experience in prior authorization, insurance verification, medical billing, or accounts receivable; ground ambulance or EMS experience preferred.
• Experience submitting authorization requests and working denials or appeals with payers preferred.
• Previous experience working in a remote or telecommute position preferred.
• Working knowledge of electronic health record (EHR) and practice management systems, payer portals, and clearinghouse platforms.

Requirements

• Strong attention to detail, follow-through, and continuous focus on quality.
• Working knowledge of prior authorization, notification, and referral processes for Medicare Advantage, Medicaid managed care, HMO, and commercial payers.
• Understands ground ambulance services, including emergency versus non-emergency transports, levels of service (BLS, ALS, SCT), and medical necessity and documentation requirements.
• Familiarity with HCPCS transport and mileage codes, ICD-10 diagnosis codes, and how authorization information affects claim submission and payment.
• Experience using payer portals, eligibility verification tools, and authorization tracking systems.
• Proficient with computers, office equipment, and standard billing/practice management software, as well as remote work technology (VPN, video conferencing, secure messaging, cloud-based document sharing).
• Outstanding written and verbal communication skills, including professional phone and video etiquette when working with payers, facilities, and clinicians.
• Strong time management and organizational skills, with the ability to track multiple deadlines and expiring authorizations.
• Demonstrates the ability to work independently and remain self-motivated and productive without in-person supervision.
• Basic awareness of cybersecurity best practices and data privacy requirements associated with handling PHI outside of a traditional office.

Benefits

• Opportunities to learn, grow, and develop new skills.
• Build a rewarding career while working alongside a team committed to making a difference.

Remote Work Requirements

• Must maintain a private workspace that protects confidential information and prevents unauthorized access to protected health information (PHI).
• Must have reliable internet service sufficient to support company systems, billing applications, and video conferencing.
• Must use company-approved equipment and security measures, including VPN, multi-factor authentication, and secure storage and transmission of billing data.
• Must meet designated work schedules, performance expectations, and communication requirements, including participation in scheduled virtual meetings.

Physical Requirements

• Regularly uses a computer, keyboard, telephone, and other standard office equipment to perform job responsibilities.
• Must be able to perform computer-based work and communicate effectively through appropriate methods in a remote office environment.
• Work is primarily performed in a home-office setting with regular periods of computer-based activity.