Job Description

Insurance Authorization Specialist

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Base Pay Range

Location: Administrative Back Office Woodmere, NY

Schedule: Full-Time | MondayFriday | 9:00 AM 5:00 PM

Reports To: Director of Revenue Cycle Management

Position Overview

The Insurance Authorization Specialist plays a critical role in ensuring timely, accurate insurance authorization for patient services across Integra Vasculars clinical operations. This position is responsible for securing insurance approvals for initial consultations, bedside procedures, and major surgical interventions, while supporting downstream revenue cycle functions and collaborating closely with Scheduling and Billing teams.

The ideal candidate is detail-oriented, organized, and experienced in navigating insurance requirements, with the ability to work efficiently in a fast-paced, multi-departmental healthcare environment.

Key Responsibilities

• Obtain and manage insurance authorizations for:
  
  • Initial patient consultations
  • Bedside and in-facility procedures
  • Office-Based Lab (OBL) and major surgical interventions
  
  
  
• Verify patient insurance coverage, eligibility, benefits, and authorization requirements.
• Communicate with insurance carriers to ensure accurate and timely approvals.
• Track authorization status and proactively resolve denials, delays, or missing documentation.
• Maintain accurate authorization records within the practice management and EMR systems.
• Provide light billing support, including assisting with claim submission preparation as needed.
• Ensure authorization information aligns with billing and coding requirements to prevent claim rejections.
• Collaborate with the Revenue Cycle Management team to support clean claim workflows.
• Work closely with the Scheduling Department to ensure authorizations are obtained prior to scheduled visits and procedures.
• Assist with light administrative tasks related to patient coordination and documentation.
• Communicate authorization status updates to schedulers, clinical teams, and leadership as appropriate.

Experience & Qualifications

• Bachelors Degree preferred; High School Diploma or equivalent required.
• Prior experience with insurance verification and authorization processes.
• Medical billing experience preferred.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
• Strong written and verbal communication skills.
• High attention to detail with the ability to manage multiple priorities effectively.
• Ability to work collaboratively across departments in a professional healthcare setting.

Seniority Level

Associate

Employment Type

Full-time

Job Function

Other

Industries

Hospitals and Health Care

Job Tags

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