Authorization Coordinator

Job Description

REQUIREMENTS

• 2 years of experience in hospital patient registration or admitting
• Experience in insurance verifications, payer admission notifications and inpatient authorizations.
• Familiarity with insurance payers including Medicare, Medicaid and commercial plans.
• Proficiency with hospital EMR systems (Epic, Cerner, Meditech or similar)
• Ability to work independently in a remote environment with minimal supervision

RESPONSIBILITIES

• Obtain, verify, and track insurance authorizations, pre-certifications, and referrals for medical services, procedures, and admissions.
• Confirm patient insurance coverage and benefits to ensure accuracy of authorization and billing.
• Maintain detailed records of authorization activities; communicate status updates to patients, providers, and internal departments.
• Collaborate with physicians, schedulers, billing staff, and payers to resolve authorization delays or denials.
• Ensure compliance with payer guidelines, organizational policies, and regulatory requirements.
• Address and resolve authorization issues promptly; escalate complex cases to leadership as appropriate.
• Identify opportunities to streamline workflows and reduce delays in obtaining approvals.

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