Authorization Specialist

PromptCare

. Submit initial authorization requests to assigned payers using paper forms, printed documentation, fax, payer portals, or other means .

Posted 9/29/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in submitting and managing authorization requests for insurance payers, particularly in Home Infusion Therapy, while ensuring compliance with HIPAA regulations and maintaining effective communication with patients and healthcare personnel.

Highest-signal resume keywords

Authorization Submission ExperienceMedical Reimbursement BackgroundKnowledge of Insurance Plan RequirementsExcellent Oral and Written Communication SkillsMicrosoft Office Suite Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization SubmissionMedical TerminologyGovernment Regulation KnowledgeHIPAA ComplianceRecord Maintenance

Soft Skills

Excellent Communication SkillsProblem-SolvingConfidentiality Maintenance

Tools & Technologies

CPR+Payer Portals

Industry Keywords

Home Infusion TherapyMedical Office ExperiencePatient Contact Experience

About the role

Key responsibilities & impact

Submit initial authorization requests to assigned payers using paper forms, printed documentation, fax, payer portals, or other means
Follow up on requests to ensure timely turnaround and approval
Understand payer requirements to ensure approval is granted
Escalate problem accounts and ensure resolution
Maintain regular contact with patients, insurance plans, physician offices, sales representatives, and other personnel
Submit authorization requests to insurance payers for Home Infusion Therapy
Oversee follow-up on pending authorizations
Review authorization approvals and denials for accuracy and initiate the appeal process
Document calls, faxes, and email communications in CPR+ according to department SOP
Maintain records of approved and denied authorizations in patients’ charts
Share insurance updates and communications with management and team members
Perform other duties assigned by the Intake Manager

Requirements

What you’ll need

High School Diploma or equivalent
Experience in medical office, patient contact and related experience
Microsoft Office Suite experience
Excellent oral and written communication skills
Medical Reimbursement background is preferred
Experience with authorization submission
Ability to maintain strict confidentiality and adhere to HIPPA guidelines and regulations
Knowledge of insurance plan requirements, medical terminology, government regulation, and codes
Ability to lift files, open filing cabinets, and bend or stand as necessary

Benefits

Comp & perks

Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans