Authorization Specialist – Healthcare Operations (Hybrid)
About The Position
Navitas Healthcare, LLC is seeking an experienced and detail-oriented Authorization Specialist to support healthcare operations through insurance authorization processing, benefit verification, and patient account coordination. This hybrid role is responsible for ensuring prior authorization requirements are completed accurately and efficiently to support timely patient care and medication access. The ideal candidate will have strong healthcare administrative experience, excellent communication skills, and working knowledge of insurance authorization workflows, reimbursement processes, and medical terminology.
Requirements
- Associate’s Degree with at least 2 years of relevant experience OR High School Diploma/GED with at least 4 years of relevant experience
- Minimum 2 years of healthcare administrative or business office experience within: Hospitals, Physician practices, Surgery centers, Health plans
- Minimum 1 year of prior authorization experience with a healthcare provider or insurance organization
Nice To Haves
- Experience with Insurance verification
- Experience with Hospital registration
- Experience with Revenue cycle processes
- Experience with Data processing workflows
- Proficiency with Microsoft Word and Excel
- Strong knowledge of Medical terminology
- Strong knowledge of CPT codes
- Strong knowledge of Diagnosis codes
Responsibilities
- Initiate and process prior authorizations through payer portals, fax, and third-party platforms
- Follow up with insurance companies regarding authorization status and approvals
- Submit additional clinical documentation as needed to support authorization requests
- Verify insurance eligibility, coverage, and patient benefits
- Collect and accurately enter patient demographic and financial information
- Utilize registration systems, electronic verification tools, and web-based resources effectively
- Maintain compliance with healthcare regulations and organizational policies
- Demonstrate understanding of reimbursement requirements and authorization procedures
- Communicate professionally with physicians, clinics, insurance providers, administrators, and internal healthcare teams
- Meet departmental productivity, quality, and customer service expectations
- Participate in team meetings and support additional operational duties as assigned
Benefits
- Most competitive pay for every position
- Salary will be discussed upfront
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What This Job Offers
Career Level
Mid Level
Education Level
Associate degree
