医疗授权专员
Medical Authorizations Specialist
职位：医疗授权专员
工作时间：美国时间（上午9点-下午5点 EST）
全职，远程办公。
薪资：南非兰特（ZAR）
我们正在寻找一位注重细节且经验丰富的医疗授权专员，负责保险授权流程，确保服务得到正确授权和记录。
成功候选人将负责验证授权要求，提交授权请求，跟进保险公司，监控授权状态，并保持准确的记录。
主要职责
- 审核患者信息并确定保险授权要求。
- 向保险公司和相关支付方提交授权请求。
- 跟进保险公司的待处理授权请求。
- 监控授权状态，确保请求在规定时间内处理。
- 跟踪已批准、待处理、被拒和过期的授权。
- 获取授权编号并准确记录授权详情。
- 识别可能导致授权延迟的缺失或错误信息。
- 与保险公司沟通以解决授权相关问题。
- 在需要时升级被拒或复杂的授权问题。
- 确保在提供服务前获得授权（如适用）。
- 维护准确且最新的授权记录。
- 将授权信息更新到内部系统和电子表格中。
- 确保所有支持性文件正确提交。
- 监控授权到期日期并在需要时发起续期。
- 保存提交、批准、拒绝和跟进的有序记录。
- 确保授权信息传达给相关内部团队。
- 与保险公司专业沟通授权请求。
- 对未完成的授权请求进行持续跟进。
- 根据需要与内部临床、行政和财务团队协作。
- 清晰传达授权更新、要求和问题。
- 主动识别待办事项并确保其解决。
要求
- 需要有直接操作保险授权的先前经验。
- 在医疗、医学或保险环境中有工作经验。
- 对保险授权流程有深入了解。
- 出色的口头和书面沟通能力。
- 强烈的细节关注能力和责任心。
查看英文原文
Position: Medical Authorizations Specialist
Working Hours: US Hours (9am-5pm EST)
Full-Time, Remote Work.
Salary: South African Rand (ZAR)
We are looking for a detail-oriented and experienced MedicalAuthorization Specialist to manage the insurance authorization process and ensure services are properly authorised and documented.
The successful candidate will be responsible for verifying authorization requirements, submitting authorization requests, following up with insurance providers, monitoring authorization status, and maintaining accurate records.
Key Responsibilities
- Review patient information and determine insurance authorization requirements.
- Submit authorization requests to insurance companies and relevant payers.
- Follow up with insurance providers regarding pending authorization requests.
- Monitor authorization status and ensure requests are processed within required timelines.
- Track approved, pending, denied, and expired authorizations.
- Obtain authorization numbers and accurately record authorization details.
- Identify missing or incorrect information that may delay authorization.
- Communicate with insurance providers to resolve authorization-related queries.
- Escalate denied or complex authorization issues when required.
- Ensure authorizations are obtained before services are provided, where applicable.
- Maintain accurate and up-to-date authorization records.
- Update internal systems and spreadsheets with authorization information.
- Ensure all supporting documentation is submitted correctly.
- Monitor authorization expiration dates and initiate renewals when required.
- Keep organised records of submissions, approvals, denials, and follow-ups.
- Ensure authorization information is communicated to the relevant internal teams.
- Communicate professionally with insurance providers regarding authorization requests.
- Follow up consistently on outstanding authorization requests.
- Liaise with internal clinical, administrative, and billing teams as required.
- Clearly communicate authorization updates, requirements, and issues.
- Proactively identify outstanding items and ensure they are resolved.
Requirements
- Previous hands-on experience working with insurance authorizations is required.
- Experience within a healthcare, medical, or insurance environment.
- Strong understanding of the insurance authorization process.
- Excellent verbal and written communication skills.
- Strong attention to detail and accuracy.
- Excellent organisational and time-management skills.
- Ability to manage multiple authorization requests and deadlines simultaneously.
- Strong follow-through and ability to proactively chase outstanding requests.
- Comfortable working with spreadsheets, online systems, and healthcare software.
- Strong computer skills and ability to learn new systems quickly.
- Ability to work independently while following established processes.
- Professional handling of confidential patient and insurance information.
Thinking of applying? Here's the inside scoop.
Let us walk you through the next steps.
Step 1 – Complete Your Application
Fill in our application form and upload your CV. This stores your profile in our Applicant Tracking System (ATS) and places you into our active job pipelines, making it easier for us to match you with current and future opportunities.
Step 2 – The First Look (One-Way Video Interview)
This is where your application comes to life. We review your CV and video interview to get a feel for your experience, communication style, and overall fit. If we like what we see, you're on to the next step!
Why do we ask for a video?
Because a résumé can tell us what you've done, but it can't show us you. Your video is your moment to shine, and it helps us see:
How you communicate and connect with people.
How you present yourself professionally.
Other opportunities you might be an even better fit for (bonus surprises!).
Think of it as your personal trailer. One great video means we can pitch you for multiple roles and get you in front of the right employers, faster.
Heads up: Some clients watch your video directly, so make it one you'd be proud to have represent you. This is your highlight reel—make it count!
Step 3 – Let's Actually Talk
A Sourcing Specialist calls to chat about your experience, your availability, what you want to earn, and the role itself. Consider it a friendly vibe check.
Step 4 – The Fine Print, Made Fun
We break down what it's like working as an independent contractor—hours, pay, contract terms, the whole deal. No surprises, no fine-print sneakiness. You'll get it all in writing.
Step 5 – Matchmaking Time
Our Talent Delivery Team plays cupid, matching you to clients where you're most likely to shine. We can't promise everyone gets picked, but we're rooting for you.
Step 6 – Showtime
Got shortlisted? We'll set up your interview, prep you like a pro, and have your back the whole way—with a Reworks teammate right there facilitating.
Step 7 – The Verdict
We chase feedback the second it lands and keep you in the loop.
Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.
Originally posted on Himalayas