Medical Authorizations Specialist

Position: Medical Authorizations Specialist

Working Hours: US Hours (9am-5pm EST)

Full-Time, Remote Work.

Salary: South African Rand (ZAR)

We are looking for a detail-oriented and experienced MedicalAuthorization Specialist to manage the insurance authorization process and ensure services are properly authorised and documented.

The successful candidate will be responsible for verifying authorization requirements, submitting authorization requests, following up with insurance providers, monitoring authorization status, and maintaining accurate records.

Key Responsibilities

• Review patient information and determine insurance authorization requirements.
• Submit authorization requests to insurance companies and relevant payers.
• Follow up with insurance providers regarding pending authorization requests.
• Monitor authorization status and ensure requests are processed within required timelines.
• Track approved, pending, denied, and expired authorizations.
• Obtain authorization numbers and accurately record authorization details.
• Identify missing or incorrect information that may delay authorization.
• Communicate with insurance providers to resolve authorization-related queries.
• Escalate denied or complex authorization issues when required.
• Ensure authorizations are obta