Authorization Specialist SSC Lincare Holdings United States, Tennessee, Nashville 5213 Linbar Drive (Show on map) Aug 13, 2026 This employee verifies insurance, obtaining authorizations and documents needed to confirm order; responsible for communicating directly with the patient, doctors' offices, insurance companies, and centers associated with the patient's account.

Job Responsibilities:

Prioritize incoming prior authorization requests

Evaluate and triage prior authorization rejections to determine validity of the prior authorization

Communicate as needed with patients regarding clinical information to be used when submitting the prior authorization

Review patient chart documentation to ensure accuracy of prior authorization submissions

Request, track, and obtain prior authorization from insurance carriers within time allotted for medical and services using my meds, fax, or verbal communication

In a timely manner, follow up on prior authorizations that have been submitted with no response from the insurance carrier

When justifiable, initiate appeals for denied authorizations

Maintain patient files on Prior Authorizations tracker

Compose letters for various situations to include medical necessity letters and appeal letters

Use ICD-10 diagnosis codes accurately and properly in the submission of prior authorizations

Contact patients via the platform to update the status of their prior authorization

Assist patients with medication assistance programs to include obtaining signatures from providers, submit documentation to medical assistance programs, and tracking progress

Demonstrate and apply knowledge of medical terminology high proficiency of general medical office procedures including HIPAA regulations Communicate with pharmacies/insurance carriers via phone, fax, or written communication

Maintain a level of productivity suitable for the department

Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format Evaluate options and make efficient decisions

Maintain consistently accurate records

Proficiency with multiple programs that include the use of internet and email

Learn how to use new software AS400

LITE Education and Experience:

High School Diploma or equivalent (GED) required

Physical Demands:

The employee may frequently lift and/or move up to 10 pounds and may occasionally lift and/or move up to 25 pounds.