Healthcare Authorization SpecialistLocation Fully Remote South AfricaWorking Hours 9am 5pm ESTSalary R26 500 R30 000About the RoleWe are looking for a detailoriented techsavvy Healthcare Authorization Specialist to support a growing homebased Applied Behaviour Analysis ABA businessIn this role you will be responsible for preparing and submitting insurance authorization requests gathering supporting documentation navigating insurance company portals and tracking authorization requirements to ensure submissions are accurate and completed on timePrevious healthcare insurance or ABA authorization experience is beneficial but not essential The client is particularly interested in candidates who are intelligent computerproficient resourceful and capable of learning new systems and processes quickly Training will be provided by the existing authorization specialistRequirementsKey ResponsibilitiesPrepare and submit healthcare insurance authorization requests accurately and efficientlyGather organize and verify supporting documentation required for authorization submissionsComplete payerspecific forms and navigate various insurance company portalsTrack authorization requests submission statuses requirements and outstanding documentationResearch insurance requirements and independently troubleshoot issues with online portals and submission processesContact insurance companies when clarification or additional information is requiredSubmit authorization requests through online portals and fax where applicableFollow detailed procedures and maintain accurate electronic recordsIdentify and resolve routine issues independently escalating more complex matters when necessaryRequirementsStrong general computer literacy and confidence navigating online systemsExcellent attention to detail and the ability to follow detailed instructionsStrong problemsolving reasoning and research skillsAbility to learn new software insurance portals and processes quicklyComfortable working independently and managing tasks with minimal supervisionGood written and verbal communication skillsStrong organizational skills and the ability to track multiple requests accuratelyA proactive approach to troubleshooting and resolving issuesPreferred ExperienceThe following experience would be advantageous but is not requiredHealthcare insurance medical administration or insurance authorization experienceABA Applied Behaviour Analysis industry experienceExperience using Availity or other healthcare insurance portalsExperience with North Carolina or Minnesota insurance authorization processesExperience preparing and submitting insurance documentation electronically or via faxFamiliarity with electronic document management systemsWhat Success Looks LikeThe successful candidate will be able to learn the authorization process during training and then confidently manage daytoday responsibilities with minimal supervision They will demonstrate strong computer navigation skills accuracy sound judgment and the ability to find solutions rather than relying on constant guidancePlease note Candidates do not need extensive experience or a long list of qualifications to be considered Practical computer skills independent thinking accuracy and the ability to learn quickly are the most important factors for success in this role
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