South Africa Remote (Global) Employment

ReWorks Solutions is hiring an Authorization Specialist

About the Role

ReWorks Solutions is looking for an Authorization Specialist who will secure prior authorizations from insurance companies for medically necessary services. In this remote role, you will be a key link between providers, patients, and payers, ensuring compliance and preventing care delays.

What You'll Do

  • Request and secure prior authorizations from insurance companies for medically necessary services.
  • Maintain meticulous records of authorization requests and follow up on pending approvals.
  • Communicate effectively with healthcare providers, patients, and insurance representatives to resolve authorization issues.
  • Stay informed about payer policies and requirements to ensure compliance.
  • Educate patients and providers on authorization-related matters.
  • Document all interactions and outcomes in the electronic health record (EHR) system accurately.

What We're Looking For

  • An Associate's degree in healthcare administration or a related field.
  • Previous experience in authorization, prior authorizations, or a related administrative healthcare role.
  • Strong knowledge of medical billing, coding, and insurance protocols.
  • Excellent organizational and multitasking abilities, with keen attention to detail.
  • Outstanding verbal and written communication skills for effective interaction with stakeholders.
  • Proficiency in EHR systems and common office software.
  • Ability to work independently in a remote environment while managing time efficiently.

Nice to Have

  • A Bachelor's degree.

Technical Stack

  • EHR systems.
  • Common office software.

Benefits & Compensation

  • Comfortable working U.S. hours.
  • Remote work from home.

Work Mode

This is a fully remote position.

ReWorks Solutions is an equal opportunity employer.

Required Skills
EHR SystemsMicrosoft OfficeMedical TerminologyHIPAA CompliancePrior AuthorizationMedical BillingCustomer ServiceDetail OrientationProblem SolvingCommunication SkillsTime ManagementData Entry
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Posted a month ago