Senior Authorizations Associate

Habitat Health

. Process all referrals and authorizations across systems of record, including post-service and retro-authorization requests, within strict regulatory timeframes .

Posted 11/6/2026full-timeRemote • United StatesSenior💰 $70,000 - $88,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing referrals and authorizations within regulatory timeframes, ensuring compliance with HIPAA requirements and maintaining accurate documentation in electronic health records. Proficient in collaborating with healthcare teams to resolve discrepancies and facilitate authorization processes effectively.

Highest-signal resume keywords

Prior Authorization ExperienceReferral CoordinationElectronic Health Records (EHR) ProficiencyMedical Terminology KnowledgeAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization ProcessesHealthcare AdministrationSingle Case AgreementsOut-of-Network AuthorizationsRetro-AuthorizationsTime ManagementRegulatory CompliancePayer PortalsMicrosoft Office ProficiencyHIPAA Compliance

Soft Skills

Excellent Communication SkillsStrong Organizational SkillsAdaptabilityEmpathy

Tools & Technologies

EpicAuthorization Management Systems

Certifications & Qualifications

Associate’s DegreeBachelor’s Degree (Preferred)

Industry Keywords

MedicareMedicaidHealthcare AdministrationReferral ProcessesPatient Access

About the role

Key responsibilities & impact

Process all referrals and authorizations across systems of record, including post-service and retro-authorization requests, within strict regulatory timeframes
Track authorization timelines, expirations, and extensions to meet regulatory and internal turnaround times
Review and validate referrals for participant, provider, reason, clinical approval, and network-status completeness before handoff to scheduling
Manage compliant follow-up and close-out of referrals, including confirming follow-up from after-visit summaries
Route requests requiring clinical review to appropriate PCP or IDT members and track them to a decision
Partner with Patient Access, Medical Records, Network Management, Claims, and local care teams to resolve authorization discrepancies and maintain timely handoffs
Facilitate single case agreements end-to-end with the Network team
Keep referral and authorization status accurate as enrollment changes, including new enrollees, disenrollment, and completed visits
Document actions, contacts, and outcomes accurately in EHR and authorization systems while following standardized workflows and HIPAA requirements

Requirements

What you’ll need

Associate’s degree (or equivalent combination of education and experience) and 2+ years of experience in prior authorization, referral coordination, or healthcare administration required
Bachelor’s degree in healthcare administration or a related field preferred
Working knowledge of medical terminology, health insurance benefits, and authorization processes
Medicare/Medicaid managed care experience strongly preferred
Experience with single case agreements, out-of-network authorizations, or retro-authorizations preferred
Familiarity with Kaiser Permanente referral processes is a plus
Experience with electronic health records (e.g., Epic), payer portals, and authorization management systems
Proficiency in Microsoft Office
Strong attention to detail, organization, and time management, with the ability to manage multiple deadlines and own turnaround times
Ability to adapt to changes and learn new systems quickly
Excellent verbal and written communication skills
Strong passion for Habitat Health’s mission, with a high degree of empathy for the populations served
Authorization to work in the United States verified through Form I-9 and E-Verify
Compliance with applicable infection control protocols, PPE requirements, and vaccination requirements associated with the role and work location

Benefits

Comp & perks

Health insurance
Life insurance
Participation in the company’s equity program
Paid time off, including vacation and sick leave
Bonus eligibility
Reasonable accommodations for disabilities and sincerely held religious beliefs
Vaccination and infection control accommodations where applicable