Authorization Specialist

American Advanced Management•Salida, CA

1d•$30

About The Position

The Authorization Specialist manages the prior authorization process to ensure timely patient admissions and continuity of care. This role verifies eligibility, submits accurate authorization requests, follows up with payers, and collaborates with clinical teams to prevent delays and resolve denials. The position also maintains detailed tracking of authorization activity and escalates issues as needed to support efficient operations and census growth.

Requirements

The Authorization Specialist demonstrates a strong sense of urgency and accountability in managing authorization workflows, ensuring no delays in submissions or follow-up.
They are highly responsive, able to prioritize and act on referrals immediately, and maintain clear, proactive communication with both internal teams and external partners.
This individual exercises sound judgment in identifying and escalating issues promptly, ensuring cases are actively managed and do not remain unresolved.
Strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced healthcare environment are essential.

Responsibilities

Submit all prior authorizations for admissions in a timely manner
Follow up daily with insurance companies on all pending cases
Ensure all required clinical documentation is complete prior to submission
Verify patient eligibility and benefits
Communicate regularly with Clinical Liaisons and Case Managers regarding authorization status
Escalate any delays or urgent cases immediately to leadership
Prevent and address denials by working with physicians and resubmitting when needed
Maintain accurate daily logs of submitted, approved, pending, and denied authorizations
Track payer information, turnaround times, and any barriers to admission
Support overall census growth by avoiding delays in the authorization process