Insurance Authorization Specialist

Solaris Health

. Initiate and track insurance prior authorizations for scheduled procedures, imaging, and other medical services .

Posted 9/15/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in insurance prior authorization processes, including verification of eligibility and benefits, while maintaining compliance with HIPAA and organizational policies. Proficient in utilizing EMR systems and payer portals to ensure accurate documentation and effective communication with insurance carriers.

Highest-signal resume keywords

Insurance VerificationPrior Authorization ManagementEMR Systems ProficiencyPayer Portals ExperienceCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Insurance VerificationMedical TerminologyData EntryAuthorization RequirementsHealthcare Billing

Soft Skills

Professional CommunicationOrganizational SkillsAttention to DetailAnalytical SkillsProblem-Solving Skills

Tools & Technologies

EMR SystemsPayer PortalsMicrosoft Office

Industry Keywords

HIPAA ComplianceHealthcare AdministrationFinancial ClearancePatient EstimationSolaris Health Code of Conduct

About the role

Key responsibilities & impact

Initiate and track insurance prior authorizations for scheduled procedures, imaging, and other medical services
Verify insurance eligibility and benefits using payer portals or direct contact with payers
Document authorization statuses accurately in the electronic medical record and Practice Management system
Ensure authorizations are obtained before scheduled dates of service to avoid delays or denials
Escalate urgent or complex authorization cases to the Manager/Supervisor and Team Lead of Financial Clearance
Support team objectives and contribute to departmental huddles and workflow optimization initiatives
Participate in ongoing training and feedback sessions
Communicate with insurance carriers to gather clinical documentation and follow up on pending requests
Identify and report recurring payer issues or trends to the Supervisor
Inform patients of authorization status, potential delays, and coverage issues
Coordinate with patient estimation staff to align authorizations with cost estimates and pre-service collections
Adhere to ethical standards, applicable laws, regulations, the Solaris Health Code of Conduct, and organizational policies
Maintain confidentiality of protected health information in compliance with HIPAA
Report suspected concerns or violations and complete Annual Compliance Training
Perform other position-related duties as assigned

Requirements

What you’ll need

High School Diploma or equivalent required
Minimum 1 year of experience in medical office, insurance verification, or healthcare billing
Comprehensive understanding of insurance verification, contract benefits and medical terminology
Ability to follow policies and procedures and enter data into various electronic systems while maintaining data integrity and accuracy
Professional verbal and written communication skills
Proficient in payer portals, EMR systems, and Microsoft Office
Excellent organizational skills and attention to detail
Excellent customer service skills
Strong analytical and problem-solving skills
Able to work effectively under supervision and in a collaborative, team-oriented environment
Able to manage multiple authorizations simultaneously
Familiarity with payer rules, authorization requirements, and EMR documentation preferred
Associate’s degree in healthcare administration, billing, or related field preferred

Benefits

Comp & perks

PTO
Holiday pay
Health insurance
Dental insurance
Vision insurance
Life Insurance
Pet Insurance
Health savings account
Paid sick time
Paid time off
Paid holidays
Profit sharing
Retirement plan