Healthcare Authorization Specialist
Remote/In-Office Hybrid | Full-Time
Pay: $19–$20/hr
Job Description:
Processed and reviewed healthcare authorizations with a focus on accuracy, timeliness, and compliance with Medicare and Medicaid (CMS) guidelines.
Utilized extensive knowledge of HCPCS, CPT codes, ICD-10, HIPAA, and PHI to ensure appropriate coding and data protection practices.
Demonstrated proficiency in Microsoft Office Suite, including Outlook, Word, Excel, Teams, and OneNote, for efficient communication, documentation, and scheduling.
Maintained a typing speed of 60+ WPM, enabling high-volume data entry without compromising attention to detail.
Managed sensitive patient information and documentation through Perceptive Content (ImageNow) and Adobe Acrobat, ensuring HIPAA compliance.
Scheduled and coordinated healthcare services, prioritizing urgent requests while ensuring all authorization and review steps were completed correctly.
Adapted quickly to hybrid work environments, maintaining high productivity both remotely (with secure high-speed internet) and in-office.
Applied knowledge of eMedNY Provider Manuals and Medicaid coverage requirements to verify patient eligibility and service approval.
Supported clinical and administrative teams by assigning and tracking authorizations through platforms such as Altruista GuidingCare and MS Access.
Maintained excellent time management and follow-up skills to meet strict turnaround times and regulatory deadlines.
resumes to mfesinstine@phaxis.com and call 516-748-6871 if you have experience
An Equal Employment Opportunity Employer