Medical Insurance Authorization Specialist

BASS MEDICAL GROUP • Berkeley, CA

2d • Onsite

About The Position

We are a busy, well-established gastroenterology practice in Berkeley, CA seeking an experienced Medical Insurance Authorization Specialist to join our team. This role is essential to ensuring timely prior authorizations and effective coordination between patients, providers, and insurance companies. The ideal candidate is detail-oriented, organized, and comfortable working in a fast-paced, multi-physician practice.

Requirements

• Minimum of two (2) years of experience in medical insurance authorization or a related healthcare administrative role
• Strong knowledge of prior authorization processes for procedures and imaging
• Familiarity with commercial insurance plans, Medicare, and managed care
• Excellent attention to detail and strong organizational skills
• Ability to manage multiple priorities in a busy clinical environment
• Strong communication and customer service skills
• This is a fully on-site position located in Berkeley, CA.
• Regular, in-person attendance is required Monday through Friday from 8:30 a.m. to 5:00 p.m.
• The role requires consistent availability during business hours to support insurance-related workflow, respond to incoming calls from insurance representatives, and provide real-time coordination with providers and staff.
• Timely communication and collaboration with clinical and administrative team members is essential.
• Adherence to practice policies, procedures, and scheduling expectations is required.

Nice To Haves

• Experience working in a gastroenterology or specialty medical practice
• Epic EMR experience preferred
• Experience coordinating care in a multi-physician practice

Responsibilities

• Obtain and manage prior authorizations for gastroenterology procedures, including but not limited to:
• Colonoscopy
• Endoscopy
• GI-related imaging studies
• Verify insurance eligibility and benefits
• Coordinate with insurance companies to resolve authorization issues, denials, and appeals
• Communicate authorization status to providers, clinical staff, and patients
• Document all authorization activity accurately in the electronic medical record
• Assist with scheduling procedures and appointments as needed
• Answer phones and support front office operations during high-volume periods
• Perform other administrative and clinical coordination duties as assigned

Benefits

• Comprehensive benefits package
• Competitive hourly pay based on experience
• Opportunities for growth and development
• Medical through Anthem Blue Cross PPO, Low-Cost Dental and Vision, Medical FSA & HSA.
• Basic Life & AD&D Insurance, Long Term Disability, 401K plan with an employer contribution, Access to Financial Advisors, Identity Theft Program.
• Paid Time Off and Company Paid holidays, Life Assistance Program, Commuter & Parking Benefits,
• Secure Travel Services, Healthy Rewards Program, Will Preparation Program, Additional perks to include discounts for Cellular phone and Gym memberships.
• Optional Life & AD&D Insurance, Aflac Supplemental Insurance, Pet Insurance
• Compensation will be based on experience

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed