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Authorizations Specialist

ReWorks Solutions
South AfricaremoteEnglish27k-30k ZAR/month2d ago

Healthcare Authorization Specialist Location: Fully Remote - South Africa Working Hours: 9am - 5pm EST Salary: R26 500 - R30 000 About the Role We are looking for a detail-oriented, tech-savvy Healthcare Authorization Specialist to support a growing, home-based Applied Behaviour Analysis (ABA) business. In 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 time. Previous healthcare insurance or ABA authorization experience is beneficial but not essential. The client is particularly interested in candidates who are intelligent, computer-proficient, resourceful, and capable of learning new systems and processes quickly. Training will be provided by the existing authorization specialist. Requirements Key Responsibilities Prepare and submit healthcare insurance authorization requests accurately and efficiently. Gather, organize, and verify supporting documentation required for authorization submissions. Complete payer-specific forms and navigate various insurance company portals. Track authorization requests, submission statuses, requirements, and outstanding documentation. Research insurance requirements and independently troubleshoot issues with online portals and submission processes. Contact insurance companies when clarification or additional information is required. Submit authorization requests through online portals and fax where applicable. Follow detailed procedures and maintain accurate electronic records. Identify and resolve routine issues independently, escalating more complex matters when necessary. Requirements Strong general computer literacy and confidence navigating online systems. Excellent attention to detail and the ability to follow detailed instructions. Strong problem-solving, reasoning, and research skills. Ability to learn new software, insurance portals, and processes quickly. Comfortable working independently and managing tasks with minimal supervision. Good written and verbal communication skills. Strong organizational skills and the ability to track multiple requests accurately. A proactive approach to troubleshooting and resolving issues. Preferred Experience The following experience would be advantageous but is not required: Healthcare insurance, medical administration, or insurance authorization experience. ABA...

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