Authorization Specialist at American Advanced Management, Inc

Salida, California, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jun, 26

Salary

0.0

Posted On

21 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorization, Eligibility Verification, Authorization Requests, Denial Resolution, Clinical Documentation, Urgency, Accountability, Prioritization, Communication, Judgment, Organizational Skills, Attention To Detail, Case Management, Tracking

Industry

Hospitals and Health Care

Description

Description POPULATION SERVED The position does not involve direct patient care for a population of patients ages 18 and older. Age specific experience and/or special training and/or expertise are not required to serve this population. POSITION SUMMARY The Authorization Specialist manages the prior authorization process to ensure timely patient admissions and continuity of care. This role verifies eligibility, submits accurate authorization requests, follows up with payers, and collaborates with clinical teams to prevent delays and resolve denials. The position also maintains detailed tracking of authorization activity and escalates issues as needed to support efficient operations and census growth. DUTIES AND RESPONSIBILITIES Submit all prior authorizations for admissions in a timely manner Follow up daily with insurance companies on all pending cases Ensure all required clinical documentation is complete prior to submission Verify patient eligibility and benefits Communicate regularly with Clinical Liaisons and Case Managers regarding authorization status Escalate any delays or urgent cases immediately to leadership Prevent and address denials by working with physicians and resubmitting when needed Maintain accurate daily logs of submitted, approved, pending, and denied authorizations Track payer information, turnaround times, and any barriers to admission Support overall census growth by avoiding delays in the authorization process Requirements The Authorization Specialist demonstrates a strong sense of urgency and accountability in managing authorization workflows, ensuring no delays in submissions or follow-up. They are highly responsive, able to prioritize and act on referrals immediately, and maintain clear, proactive communication with both internal teams and external partners. This individual exercises sound judgment in identifying and escalating issues promptly, ensuring cases are actively managed and do not remain unresolved. Strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced healthcare environment are essential.

Responsibilities

The Authorization Specialist is responsible for managing the entire prior authorization process, which includes submitting requests timely, verifying eligibility, and following up with payers to ensure continuity of care. This role also involves collaborating with clinical teams to resolve denials and maintaining detailed tracking of all authorization activities.