[Hiring] Medical Authorizations Specialist @ReWorks Solutions

Role Description

We are looking for a detail-oriented and experienced Medical Authorization Specialist to manage the insurance authorization process and ensure services are properly authorised and documented. The successful candidate will be responsible for:

• Reviewing patient information and determining insurance authorization requirements.
• Submitting authorization requests to insurance companies and relevant payers.
• Following up with insurance providers regarding pending authorization requests.
• Monitoring authorization status and ensuring requests are processed within required timelines.
• Tracking approved, pending, denied, and expired authorizations.
• Obtaining authorization numbers and accurately recording authorization details.
• Identifying missing or incorrect information that may delay authorization.
• Communicating with insurance providers to resolve authorization-related queries.
• Escalating denied or complex authorization issues when required.
• Ensuring authorizations are obtained before services are provided, where applicable.
• Maintaining accurate and up-to-date authorization records.
• Updating internal systems and spreadsheets with authorization information.
• Ensuring all supporting documentation is submitted correctly.
• Monitoring authorization expiration dates and initiating renewals when required.
• Keeping organised records of submissions, approvals, denials, and follow-ups.
• Ensuring authorization information is communicated to the relevant internal teams.
• Communicating professionally with insurance providers regarding authorization requests.
• Following up consistently on outstanding authorization requests.
• Liaising with internal clinical, administrative, and billing teams as required.
• Clearly communicating authorization updates, requirements, and issues.
• Proactively identifying outstanding items and ensuring they are resolved.

Qualifications

• Previous hands-on experience working with insurance authorizations is required.
• Experience within a healthcare, medical, or insurance environment.
• Strong understanding of the insurance authorization process.
• Excellent verbal and written communication skills.
• Strong attention to detail and accuracy.
• Excellent organisational and time-management skills.
• Ability to manage multiple authorization requests and deadlines simultaneously.
• Strong follow-through and ability to proactively chase outstanding requests.
• Comfortable working with spreadsheets, online systems, and healthcare software.
• Strong computer skills and ability to learn new systems quickly.
• Ability to work independently while following established processes.
• Professional handling of confidential patient and insurance information.

Application Process

Thinking of applying? Here's the inside scoop:

• Step 1 – Complete Your Application: Fill in our application form and upload your CV.
• Step 2 – The First Look (One-Way Video Interview): We review your CV and video interview to assess your experience and fit.
• Step 3 – Let's Actually Talk: A Sourcing Specialist calls to discuss your experience and the role.
• Step 4 – The Fine Print, Made Fun: We explain what it's like working as an independent contractor.
• Step 5 – Matchmaking Time: Our Talent Delivery Team matches you to clients.
• Step 6 – Showtime: If shortlisted, we set up your interview and prep you.
• Step 7 – The Verdict: We chase feedback and keep you in the loop.

Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. Please verify any suspicious messages with our team directly.