Revenue Cycle Authorization Specialist

Specialist

Remote

August 24, 2026

Application ends: November 21, 2026

REQUIREMENTS

Minimum 2 years of experience in a healthcare or medical office setting, with at least 1 year in prior authorization or patient access roles
Proficient in Microsoft Office (Excel, Word, PowerPoint)
Proficient in Microsoft Outlook
Experience and ability to navigate practice EHR PM systems (Nextech, Nextgen, a plus)

Knowledge, Skills, Abilities

Demonstrated knowledge of retina-specific therapies and intravitreal drugs
Strong familiarity with copay assistance programs and manufacturer support portals
Proficient in navigating insurance portals and EMR systems
Excellent communication skills—both written and verbal
Strong attention to detail, organizational, and problem-solving skills
Outstanding poise in a fast-paced business environment
Ability to work both independently and in a team setting

RESPONSIBILITES

Coordinate prior authorizations for intravitreal drugs across commercial and government payers
Navigate payer websites and portals to submit and track authorization requests efficiently and accurately
Work directly with our retinal practices to ensure timely drug access and treatment continuity
Maintain up-to-date knowledge of payer-specific requirements and documentation standards
Utilize drug manufacturer portals to initiate benefits investigations and access copay support resources
Track and document all authorization activity within the EMR and/or billing system in compliance with HIPAA and organizational standards
Maintain compliance with HIPAA and all other relevant healthcare regulations.
Work collaboratively with other Revenue Cycle Operations sub-departments
Monitor expiration dates of authorizations and proactively renew or extend as needed
Participate in training sessions and stay informed of changes in payer guidelines or drug access programs
Any other project as determined by the Manager of Clinical Pathways.