Surgical Authorization Specialist
95 Main Ave Suite 210 Clifton, NJ 07014 US
Job Description
Insurance Authorization Specialist
We are seeking an Insurance Authorization Specialist to manage surgical approvals for complex cases, including Workers’ Compensation, Motor Vehicle Accidents, Personal Injury Protection, and out-of-network carriers. This role involves coordinating with attorneys, adjusters, and insurance providers to secure timely authorizations and prevent surgical delays.
What's in it for you?
- Salary: $65,000/year
- Location: Clifton, NJ
- Benefits: 80% employer-paid health, 100% dental & vision, Fully funded pension + 50% 401(k) match, 3 weeks PTO
Insurance Authorization Specialist Responsibilities:
- Obtain and track authorizations for surgical cases.
- Review clinical and legal documents (e.g., operative notes, letters of medical necessity).
- Communicate with attorneys, adjusters, and case managers.
- Handle denied authorizations and appeals.
- Maintain accurate EMR records and stay current on WC/PIP regulations.
Insurance Authorization Specialist Qualifications:
- 2+ years’ experience with medical/surgical authorizations (WC, MVA, PIP preferred)
- Knowledge of out-of-network processes, medical terminology, and surgical procedures
- Strong organizational and communication skills; bilingual a plus
If interested, apply today to join our client's team!
HumanHire is a national executive search and staffing firm with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. We have multiple highly specialized divisions. Within the Healthcare industry, we specialize in the following and more –
- Healthcare Administration & Management
- Medical Billing & Coding
- Behavioral & Mental Health
- Nursing
- Allied Health Professionals
- Health Information Technology (HIT)
- Rehabilitation Services
- Laboratory & Diagnostic Services
- Emergency & Critical Care
- Public Health & Community Health
- Revenue Cycle Management
- Patient Access & Registration
- Medical Office Administration
- Hospital & Clinic Operations
- Compliance & Risk Management
- Managed Care & Insurance Operations
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