Busy Urology Office Looking for Authorization Specialist/Pt Medical Collections Prestige Medical Group is seeking a highly organized and detail-oriented Authorization Specialist to join our busy urology practice. This position is responsible for obtaining and tracking prior authorizations for HMO patients to ensure services are approved before scheduled appointments, procedures, imaging, and treatments. The ideal candidate is dependable, organized, able to manage a high volume of authorization requests, and comfortable communicating with insurance companies, medical groups, and clinical staff. Responsibilities Obtain prior authorizations for HMO patients prior to scheduled services. Submit authorization requests to insurance companies and medical groups/IPAs. Verify authorization requirements and ensure the correct CPT and diagnosis codes are submitted. Track pending authorizations and follow up regularly until a determination is received. Confirm authorizations are approved for the correct provider, location, procedure, and dates of service. Identify authorization issues before the patient's scheduled appointment. Communicate authorization status, denials, or additional documentation requirements to office staff and providers. Maintain accurate documentation of authorization requests, approvals, reference numbers, and communications. Manage a high volume of requests while meeting deadlines and prioritizing urgent cases. Assist with resolving authorization-related issues that could delay patient care. Qualifications Previous medical authorization, referral, or insurance experience strongly preferred . Experience working with HMO plans, IPAs, and medical groups preferred. Urology experience is a plus. Experience with NextGen Office and Epic preferred . Knowledge of CPT and ICD-10 codes is preferred. Strong attention to detail and organizational skills. Ability to independently track multiple pending authorizations and follow through to completion. Strong written and verbal communication skills. Comfortable working in a fast-paced, busy medical practice . Reliable, proactive, and able to identify potential authorization problems before they affect patient care. Ideal Candidate We are looking for someone who is extremely detail-oriented and organized . This position requires consistent follow-up and the ability to keep track of many patients, insurance plans, deadlines, and authorization requirements at the same time. The right candidate understands that obtaining timely and accurate authorizations is an important part of preventing delays in patient care.

Job Type:

Full-time Pay:

From $19.00 per hour

Benefits:

401(k) Dental insurance Health insurance Vision insurance

Experience:

Authorization:

1 year (Required)

Language:

Spanish (Preferred)

Work Location:

In person