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Authorization Specialist
Option Care Health. Submit accurate and timely authorization requests to insurance companies and payers.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing authorization requests, verifying insurance benefits, and applying medical coding and terminology. Strong attention to detail and ability to collaborate effectively with healthcare providers and billing teams are essential.
Highest-signal resume keywords
Medical CodingAuthorization RequestsInsurance VerificationHealthcare Billing ExperienceDetail-Oriented
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingDiagnosis CodesMedical TerminologyAuthorization RequestsInsurance Verification
Soft Skills
Multi-TaskingSelf-DisciplineQuality FocusCommunication
Industry Keywords
HealthcarePayer RequirementsClinical DocumentationPatient AccountsAuthorization Process
About the role
Key responsibilities & impact- Submit accurate and timely authorization requests to insurance companies and payers.
- Set up and maintain patient accounts in the system.
- Obtain and review clinical documentation to verify medical necessity.
- Communicate with healthcare providers to gather required authorization information.
- Verify insurance benefits and eligibility for services.
- Monitor authorization request status and follow up as needed.
- Ensure compliance with payer requirements and regulations.
- Apply basic medical coding, diagnosis codes, and medical terminology in the authorization process.
- Maintain detailed records and documentation for all authorizations.
- Collaborate with billing and claims teams to resolve authorization-related issues.
- May perform other duties as assigned.
Requirements
What you’ll need- High school diploma or equivalent is required.
- Ability to multi-task and support numerous referrals/priorities at one time.
- Ability to work in a fast past environment.
- High degree of self-discipline in maintaining productivity expectations.
- Must be detail-oriented and have a high degree of quality focus.
- Basic medical coding, diagnosis codes, and medical terminology knowledge.
- Healthcare/medical billing experience preferred.
- Must be able to work remotely during PST/MST hours.
Benefits
Comp & perks- Medical, Dental, & Vision Insurance
- Paid Time off
- Bonding Time Off
- 401K Retirement Savings Plan with Company Match
- HSA Company Match
- Flexible Spending Accounts
- Tuition Reimbursement
- myFlexPay
- Family Support
- Mental Health Services
- Company Paid Life Insurance
- Award/Recognition Programs