Description
We are seeking a detail-oriented and patient-focused Authorizations Specialist to join our hospital team. In this role, you will be responsible for obtaining and managing insurance authorizations for outpatient and inpatient services while ensuring compliance with payer requirements. The ideal candidate has strong knowledge of medical insurance, excellent communication skills, and the ability to thrive in a fast-paced healthcare environment.


Essential Responsibilities:


* Obtain prior authorizations and pre-certifications from commercial, Medicare, Medicaid, and managed care insurance plans.

* Verify patient insurance eligibility, benefits, and coverage requirements.

* Review physician orders and clinical documentation to ensure authorization requests meet payer guidelines.

* Submit authorization requests accurately and follow up to secure timely approvals.

* Communicate authorization status to physicians,...