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.
We are partnering with a company seeking an Authorization Specialist to support insurance authorization activities and help ensure services are processed accurately and in line with payer requirements. Our team is looking for a detail-oriented professional who can communicate effectively, manage competing priorities, and contribute to a positive experience for patients, payers, and internal teams.
Responsibilities:
Submit and follow up on prior authorizations through fax and web portals while ensuring information is completed accurately. Communicate with insurance companies, internal teams, and customers to obtain required information and resolve authorization-related issues. Document authorization activity, maintain patient records, and support accurate reporting of payer changes, billing rules, and documentation updates. Handle inbound and outbound calls as needed and collaborate with team members to support workflow, operational projects, and customer service goals.
Required:
High School Diploma, GED, Vocational Education, or equivalent. No prior experience required. Demonstrated superior customer service skills and excellent verbal and written communication skills. Strong analytical and problem-solving skills, with the ability to organize and prioritize workload and work independently or as part of a team. Strong knowledge of Microsoft Office products, including Outlook, Word, and Excel. Phone skills and experience using TIMS or a website-based insurance system are required, along with the ability to conduct telephone conversations, read medical and insurance information, and communicate clearly.
About SSI People:
With over 26 years of industry experience, SSi People has built its reputation and expertise on putting people first. Everything we do works toward delivering exceptional experience for our consultants, our clients, and our internal team. Through a genuine commitment to people in everything we do. We have developed refined processes and a stellar internal team to deliver talent quickly. More importantly, we focus on building long-term relationships, not transactions. Putting people first is just what we do well. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from SSi People and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: SSi People Privacy Policy
