Archived listing. The details below describe a past opening.
We are looking for an Insurance Authorization Coordinator to support timely coverage approvals for members receiving care in Massachusetts. This contract opportunity with permanent potential is ideal for someone who is organized, proactive, and comfortable managing detailed administrative work across several systems. In this role, you will help keep authorization activity moving efficiently by coordinating documentation, monitoring payer responses, and partnering with internal teams to avoid delays in service.
Responsibilities:
- Oversee a queue of members requiring initial insurance approvals and ongoing reauthorizations, ensuring requests are addressed within expected timeframes.
- Prepare and send authorization submissions to health plans and payers, including MassHealth, with complete and accurate supporting documentation.
- Review payer updates regularly, record authorization outcomes, and process approvals so services can continue without interruption.
- Investigate pending or denied requests by gathering missing information, escalating issues when needed, and following through to resolution.
- Maintain precise and up-to-date records across internal platforms and related tracking tools to support visibility and compliance.
- Coordinate with clinical, administrative, and operations teams to collect required details and keep the authorization process on schedule.
- Use standard office applications and digital systems to organize information, manage workflow, and support daily administrative needs.
- Assist with related coordination tasks such as scheduling follow-ups and responding to inbound inquiries connected to authorization status.
- Previous experience in healthcare administration, insurance authorization, medical office support, or a similar environment is preferred.
- Ability to work confidently in multiple software systems and adapt quickly to new technology.
- Proficiency with Microsoft Office, especially Excel, along with general computer literacy.
- Strong attention to detail and the ability to manage documentation accurately in a fast-paced setting.
- Excellent organizational skills with the ability to prioritize tasks and meet deadlines consistently.
- Clear communication skills and a collaborative approach when working with internal teams and external payers.
- Experience with healthcare-related technology is helpful, though training can be provided.
- Spanish or Haitian Creole language skills are preferred but not required.