Authorization Specialist

Option Care Health

. Submit accurate and timely authorization requests to insurance companies and payers.

Posted 9/21/2026full-timeUnited StatesMid-LevelSenior💰 $17 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in managing authorization requests, ensuring compliance with payer regulations, and utilizing medical coding and terminology. Strong ability to maintain detailed records and collaborate effectively with healthcare providers and billing teams.

Highest-signal resume keywords

Medical CodingAuthorization RequestsInsurance VerificationHealthcare Billing ExperienceDetail-Oriented

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingDiagnosis CodesMedical TerminologyAuthorization RequestsInsurance Verification

Soft Skills

Multi-TaskingSelf-DisciplineDetail-OrientedQuality FocusCommunication

Industry Keywords

HealthcarePayer RequirementsPatient AccountsClinical DocumentationBilling and Claims

About the role

Key responsibilities & impact

Submit accurate and timely authorization requests to insurance companies and payers.
Ensure proper setup and maintenance of patient accounts in the system.
Obtain and review clinical documentation to verify medical necessity.
Communicate with healthcare providers to gather required information for authorizations.
Verify insurance benefits and eligibility for services.
Monitor authorization request status and follow up as needed.
Ensure compliance with payer requirements and regulations.
Utilize 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.
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 understanding of medical coding, diagnosis codes, and medical terminology.
Healthcare/medical billing experience preferred.

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