Solaris Health
Solaris Health is a national healthcare platform to enhance access to specialty healthcare and improve patient outcomes.
Insurance Authorization Specialist
Location
United States
Posted
34 days ago
Salary
Not specified
High School1 yr expEnglish
Job Description
• The Insurance Authorization Specialist is responsible for securing insurance authorizations for medical services to ensure timely patient care and accurate reimbursement.
• Initiate and track insurance prior authorizations for scheduled procedures, imaging, and other medical services.
• Verify insurance eligibility and benefits using payer portals or through direct contact with payers.
• Accurately document authorization statuses in the electronic medical record (EMR) and Practice Management (PM) system.
• Ensure all authorizations are obtained prior to the scheduled date of service to avoid delays or denials.
• Work closely with the Manager/Supervisor and Team Lead of Financial Clearance to escalate urgent or complex authorization cases.
• Support team objectives and contribute to departmental huddles and workflow optimization initiatives.
• Participate in ongoing training and feedback sessions led by the Supervisor to enhance performance and process compliance.
• Communicate with insurance carriers to gather necessary clinical documentation and follow up on pending requests.
• Identify and report recurring payer issues or trends to the Supervisor for team-level resolution or escalation.
• Inform patients of authorization status, potential delays, and what to expect if coverage issues arise.
• Coordinate with patient estimation staff to ensure authorizations align with cost estimates and pre-service collections efforts.
Job Requirements
- High School Diploma or equivalent required
- Associate’s degree in healthcare administration, billing, or related field preferred
- Minimum 1 year of experience in medical office, insurance verification, or healthcare billing
- Comprehensive understanding of insurance verification, contract benefits and medical terminology
- Ability to follow policies and procedures and enter data into various electronic systems while maintaining the integrity and accuracy of the data
- Professional verbal and written communication skills
- Proficient in payer portals, EMR systems, and Microsoft Office
- Excellent organizational skills and attention to detail
- Excellent customer service skills
- Strong analytical and problem-solving skills
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life Insurance
- Pet Insurance
- Health savings account
- Paid sick time
- Paid time off
- Paid holidays
- Profit sharing
- Retirement plan
Related Guides
Related Categories
Related Job Pages
More Insurance Jobs
Insurance34 days ago
Full TimeRemoteTeam 10,001+Since 2019H1B No Sponsor
Insurance Verification Specialist ensuring accuracy of patient coverage and documentation
United States
Insurance34 days ago
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor
Insurance Technician providing support to underwriting team and clients
Virtual Agent – Life Insurance
Yellowstone Life Insurance AgencyProviding a 100% Virtual Business Model to meet both Clients and Agents where they are!
Insurance35 days ago
Full TimeRemoteTeam 51-200H1B No Sponsor
Virtual Agent serving clients for life insurance solutions
Louisiana + 2 moreAll locations: Louisiana, New Mexico, Texas
Insurance36 days ago
Full TimeRemoteTeam 5,001-10,000H1B Sponsor
Insurance Account Specialist processing routine insurance tasks remotely