Authorization Specialist - Healthcare Operations (Hybrid)

Authorization Specialist – Healthcare Operations (Hybrid)

Location: Ithaca (Hybrid – 1 Day Onsite Weekly)

Job Type: 13-Week Contract

Schedule: Day Shift | Standard Business Hours

Position Overview

"Navitas Healthcare, LLC" is seeking an experienced and detail-oriented Authorization Specialist to support healthcare operations through insurance authorization processing, benefit verification, and patient account coordination. This hybrid role is responsible for ensuring prior authorization requirements are completed accurately and efficiently to support timely patient care and medication access.

The ideal candidate will have strong healthcare administrative experience, excellent communication skills, and working knowledge of insurance authorization workflows, reimbursement processes, and medical terminology.

Key Responsibilities

• Initiate and process prior authorizations through payer portals, fax, and third-party platforms
• Follow up with insurance companies regarding authorization status and approvals
• Submit additional clinical documentation as needed to support authorization requests
• Verify insurance eligibility, coverage, and patient benefits
• Collect and accurately enter patient demographic and financial information
• Utilize registration systems, electronic verification tools, and web-based resources effectively
• Maintain compliance with healthcare regulations and organizational policies
• Demonstrate understanding of reimbursement requirements and authorization procedures
• Communicate professionally with physicians, clinics, insurance providers, administrators, and internal healthcare teams
• Meet departmental productivity, quality, and customer service expectations
• Participate in team meetings and support additional operational duties as assigned

Required Qualifications

• Associate’s Degree with at least 2 years of relevant experience
  
  OR
• High School Diploma/GED with at least 4 years of relevant experience

Required Experience

• Minimum 2 years of healthcare administrative or business office experience within:
  • Hospitals
  • Physician practices
  • Surgery centers
  • Health plans
• Minimum 1 year of prior authorization experience with a healthcare provider or insurance organization

Preferred Skills

• Experience with:
  • Insurance verification
  • Hospital registration
  • Revenue cycle processes
  • Data processing workflows
• Proficiency with Microsoft Word and Excel
• Strong knowledge of:
  • Medical terminology
  • CPT codes
  • Diagnosis codes

For more details contact at [email protected] or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.