Insurance Authorization Specialist

Summary/Objective

Under limited supervision, the Insurance Authorization Specialist reviews and manages benefits, eligibility, and prior authorizations for hospitals and physicians, acting as a vital intermediary between the medical institution, patients, and insurance agencies. This role performs pre-registrations for scheduled accounts across multiple affiliates, coordinates

financial estimations, and establishes patient payment arrangements. The Specialist acts as the primary documentation source for access and billing staff to optimize reimbursement and minimize financial risk.

Two years of experience in a hospital patient access/patient accounts department, medical office/clinic or insurance company is desired.

Previous customer service experience.

Experience interacting with patients and a working knowledge of third party payers. Prior experience with verification, and payer benefit and eligibility systems is preferred.

2 years Epic experience