Healthcare Authorization Specialist
R
ReWorks SolutionsHealthcare insurance
Fully Remote - South Africa, 9am - 5pm ESTFull-Time
Salary26,500 - 30,000 ZAR per month
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Job Details
- Required Skills
- Problem SolvingAttention to detailResearch
Requirements
- Demonstrate strong general computer literacy and confidence navigating online systems.
- Show excellent attention to detail and the ability to follow detailed instructions.
- Apply problem-solving, reasoning, and research skills.
- Learn new software, insurance portals, and processes quickly.
- Work independently and manage tasks with minimal supervision.
- Maintain strong organizational skills and track multiple requests accurately.
- Troubleshoot and resolve issues proactively.
- Healthcare insurance, medical administration, or insurance authorization experience is advantageous but not required.
- ABA (Applied Behaviour Analysis) industry experience is advantageous but not required.
- Experience with Availity or other healthcare insurance portals is advantageous but not required.
- Experience with North Carolina or Minnesota insurance authorization processes is advantageous but not required.
- Experience submitting insurance documentation electronically or by fax, or familiarity with electronic document management systems, is advantageous.
Responsibilities
- Prepare and submit healthcare insurance authorization requests accurately and efficiently.
- Gather, organize, and verify supporting documentation for authorization submissions.
- Complete payer-specific forms and navigate insurance company portals.
- Track authorization requests, submission statuses, requirements, and outstanding documentation.
- Research insurance requirements and troubleshoot portal and submission issues.
- Contact insurance companies when clarification or additional information is needed.
- Submit requests through online portals and fax where applicable.
- Follow procedures, maintain accurate electronic records, and escalate complex matters when necessary.
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