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Insurance Authorization Specialist
Career Insights for Eligibility Specialist
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Scorecard
Based on Indiana data
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What they do
An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
$45,704 / year median in Indiana
+16% projected growth
Job Description
Description We are seeking a detail-oriented Insurance Authorization Specialist to support the timely review, submission, and follow-up of prior authorizations and insurance verification activities. This role is responsible for working with patients, providers, and insurance carriers to secure authorizations for services, procedures, and treatments while ensuring accuracy, compliance, and excellent customer service.
Hours:
Monday - Friday 8am - 5pm Key Responsibilities
+ Obtain and process prior authorizations for medical procedures, treatments, medications, and specialty services
+ Verify patient insurance eligibility, benefits, coverage limitations, and authorization requirements
+ Communicate with insurance companies, physician offices, clinical staff, and patients regarding authorization status
+ Submit accurate clinical documentation and required forms to payers within established timelines
+ Track pending authorizations and follow up to ensure timely approvals or denials
+ Review denied requests and assist with appeals or resubmissions as needed
+ Maintain detailed and accurate records in the electronic medical record and billing systems
+ Ensure compliance with payer guidelines, HIPAA, and internal policies
+ Identify authorization issues that may impact scheduling, billing, or reimbursement and escalate as appropriate
+ Provide updates to internal teams regarding authorization outcomes and next steps Requirements
+ High school diploma or equivalent required; associate or bachelor's degree preferred + 1+ years of experience in insurance authorization, medical billing, healthcare administration, or a related field preferred
+ Strong knowledge of prior authorizations, insurance verification, and payer requirements
+ Familiarity with CPT, ICD-10, and medical terminology preferred
+ Experience working with electronic health records and practice management systems
+ Proficient in Microsoft Office, including Word, Excel, and Outlook
+ Strong attention to detail, organizational skills, and follow-through
+ Excellent written and verbal communication skills
+ Ability to manage multiple priorities in a fast-paced healthcare environment TalentMatch® Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .
Benefits
- 401(k) Plans
- Health Insurance
- Dental Insurance
- Vision Insurance