Medical Insurance Authorization Specialist at BASS MEDICAL GROUP

Berkeley, California, United States -

Full Time

Start Date

Immediate

Expiry Date

25 May, 26

Salary

0.0

Posted On

24 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorizations, Insurance Eligibility Verification, Benefits Verification, Denial Resolution, Appeals Management, Electronic Medical Record Documentation, Scheduling, Front Office Support, Attention To Detail, Organization, Communication, Customer Service, Gastroenterology, Epic EMR

Industry

Medical Practices

Description

Description Location: Berkeley, CA Practice Type: Gastroenterology (5-Physician Practice) Schedule: On-site, Monday–Friday, 8:30 a.m. – 5:00 p.m. Job Summary We are a busy, well-established gastroenterology practice in Berkeley, CA seeking an experienced Medical Insurance Authorization Specialist to join our team. This role is essential to ensuring timely prior authorizations and effective coordination between patients, providers, and insurance companies. The ideal candidate is detail-oriented, organized, and comfortable working in a fast-paced, multi-physician practice. Key Responsibilities Obtain and manage prior authorizations for gastroenterology procedures, including but not limited to: Colonoscopy Endoscopy GI-related imaging studies Verify insurance eligibility and benefits Coordinate with insurance companies to resolve authorization issues, denials, and appeals Communicate authorization status to providers, clinical staff, and patients Document all authorization activity accurately in the electronic medical record Assist with scheduling procedures and appointments as needed Answer phones and support front office operations during high-volume periods Perform other administrative and clinical coordination duties as assigned Position Requirements This is a fully on-site position located in Berkeley, CA. Regular, in-person attendance is required Monday through Friday from 8:30 a.m. to 5:00 p.m. The role requires consistent availability during business hours to support insurance-related workflow, respond to incoming calls from insurance representatives, and provide real-time coordination with providers and staff. Timely communication and collaboration with clinical and administrative team members is essential. Adherence to practice policies, procedures, and scheduling expectations is required. Required Qualifications Minimum of two (2) years of experience in medical insurance authorization or a related healthcare administrative role Strong knowledge of prior authorization processes for procedures and imaging Familiarity with commercial insurance plans, Medicare, and managed care Excellent attention to detail and strong organizational skills Ability to manage multiple priorities in a busy clinical environment Strong communication and customer service skills Preferred Qualifications Experience working in a gastroenterology or specialty medical practice Epic EMR experience preferred Experience coordinating care in a multi-physician practice Work Environment On-site position in Berkeley, CA Fast-paced, collaborative outpatient specialty practice Regular interaction with providers, staff, patients, and insurance representatives Compensation & Benefits: Full-time, 40 hours per week, with occasional overtime as needed Comprehensive benefits package Competitive hourly pay based on experience Opportunities for growth and development Why You’ll Love Working Here: Join a trusted, collaborative team of professionals Work in a well-established practice with a supportive environment On-site parking for convenience Compensation Package At BASS Medical Group, we understand that a comprehensive, high quality, and affordable health benefits program is now more essential than ever. The overall well-being of our employees is at the forefront of our focus. With this in mind, we offer our eligible employees a generous benefits program. Health & Welfare Benefits: Medical through Anthem Blue Cross PPO, Low-Cost Dental and Vision, Medical FSA & HSA. Retirement Savings & Income Security: Basic Life & AD&D Insurance, Long Term Disability, 401K plan with an employer contribution, Access to Financial Advisors, Identity Theft Program. Work/Life Balance Benefits: Paid Time Off and Company Paid holidays, Life Assistance Program, Commuter & Parking Benefits, Secure Travel Services, Healthy Rewards Program, Will Preparation Program, Additional perks to include discounts for Cellular phone and Gym memberships. Voluntary Benefits: Optional Life & AD&D Insurance, Aflac Supplemental Insurance, Pet Insurance Compensation will be based on experience Disclaimer This job description is intended to describe the general nature and level of work performed in this position. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Responsibilities may be modified at the discretion of the practice to meet operational needs.

Responsibilities

The specialist is responsible for obtaining and managing prior authorizations for gastroenterology procedures like Colonoscopy and Endoscopy, and coordinating authorization status updates with patients and staff. This role also involves verifying insurance eligibility, resolving authorization issues, and documenting all activity in the EMR.