Authorization Specialist II

61st Street Service Corp

. Verify insurance coverage using system tools and payer portals, and update billing-system changes .

Posted 11/3/2026full-timeUnited StatesJunior💰 $25 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in verifying insurance coverage, managing pre-authorizations, and navigating billing requirements within a healthcare environment. Proficient in utilizing electronic billing systems and communicating effectively with patients and providers.

Highest-signal resume keywords

Insurance VerificationPre-Authorization ManagementMedical Terminology ProficiencyEpic Electronic Billing SystemsCustomer Service Orientation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Billing RequirementsReferral DocumentationClinical Documentation ReviewPatient Out-of-Pocket EstimatesAuthorization SubmissionPayer Portal NavigationDiagnosis CodingProcedure CodingManaged Care EligibilityTime Management

Soft Skills

Effective CommunicationAdaptabilityConflict ResolutionMulti-TaskingProfessionalism

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookEmail SoftwarePractice Management System

Certifications & Qualifications

High School GraduateGED Certificate

Industry Keywords

HealthcareBilling EnvironmentAcademic Healthcare SettingTri-State Area Residency

About the role

Key responsibilities & impact

Verify insurance coverage using system tools and payer portals, and update billing-system changes
Confirm provider participation status with patient insurance plans and networks
Determine referral and authorization requirements for professional services
Contact patients and PCPs to secure required payer referrals
Document referrals in the practice management system
Research system notes for missing or corrected insurance or demographic information
Review clinical documentation to ensure procedures meet insurance criteria
Initiate authorizations and submit clinical documentation requested by insurers
Follow pre-certifications through final approval
Communicate authorization statuses and denials to surgical coordinators
Submit appeals for denied prior authorizations or denied payments
Set up peer-to-peer calls with clinical providers and insurance companies
Calculate and document patient out-of-pocket estimates and provide them to patients
Assist the Supervisor with special projects and tasks
Assist Authorization-Referrals Specialist I with complex cases or questions
Serve as backup to Authorization-Referrals Specialist III
Perform other assigned duties

Requirements

What you’ll need

High school graduate or GED certificate is required
Minimum of 1 year of experience in a physician’s billing or third payer environment
Ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations
Strong customer service and patient-focused orientation
Ability to communicate, adapt, and respond to complex situations
Ability to diffuse complex situations in a calm and professional manner
Effective verbal and written communication skills
Ability to multi-task, prioritize, document, and manage time effectively
Functional proficiency in Microsoft Word, Excel, Outlook, email, and similar computer software
Functional proficiency and comprehension of medical terminology
Experience in Epic and/or other electronic billing systems is preferred
Knowledge of medical terminology, diagnosis, and procedure coding is preferred
Previous experience in an academic healthcare setting is preferred
Must reside in the Tri-State area: New York, New Jersey, or Connecticut
Must be in a Columbia University-approved telework state

Benefits

Comp & perks

Healthcare benefits
Paid time off
Competitive comprehensive benefit package