Job Overview:

We are seeking a Medical Insurance Specialist / Authorization Coordinator to manage referrals, prior authorizations, appeals, and MRI approvals across two medical practices—no appointment scheduling required. The ideal candidate brings strong health insurance experience, expertise with online portals, exceptional attention to detail, and persistent follow-through. 

Schedule: Remote Full Time | Monday to Friday, 8:00 AM to 5:00 PM EST.

Responsibilities:

• Manage insurance referrals and prior authorization processes.
• Navigate various insurance company portals to submit and track requests.
• Follow up on pending authorizations and referrals.
• Communicate approval and denial updates to the appropriate office staff.
• Maintain accurate records and update provided tracking spreadsheets.
• Handle appeals for denied referrals, procedures, medications, and imaging requests as applicable.
• Follow up on submitted appeals and provide status updates to the practices.
• Maintain confidentiality when handling patient and insurance information.

If you are selected for this position, you could be assigned to one of these practices, each one have different responsibilities:

West Palm Beach Practice

• • Referrals: Obtain referrals for new and established patients for office visits. Notify office staff once referrals are obtained so appointments can be scheduled.
  • Procedure Authorizations: Submit prior authorizations for ordered procedures to insurance carriers. Communicate approvals or denials to office staff.
  • Appeals: File and follow up on appeals for denied procedures and provide updates to the office.
  • MRI Approvals: Monitor MRI requests through the Athena tracker and contact patients once approvals are received. Appeal denials as needed and communicate updates to the office.
  • Log referral, authorization, and approval information in the provided spreadsheets.

Pembroke Pines Practice

• • Referrals & Procedure Authorizations: Obtain required referrals and authorizations and communicate updates to office staff so appointments can be scheduled.
  • Maintain accurate authorization and referral records in the provided spreadsheet.
  • File appeals for denied procedures and follow up with the insurance carrier. Notify the office if an authorization cannot be obtained.
  • Medication Prior Authorizations: Submit and follow up on medication PAs. Contact patients regarding approvals and file appeals for denied medications when appropriate.
  • Communicate with the office regarding next steps when medication authorization cannot be obtained.
  • MRI Approvals: Monitor MRI requests through the Athena tracker, notify patients once approved, appeal denials as needed, and communicate updates to office staff.

Requirements:

• Previous experience in medical insurance, prior authorizations, referrals, or healthcare administration preferred.
• Experience navigating insurance company portals.
• Familiarity with prior authorization and appeals processes.
• Experience with Athenahealth is a plus.
• Strong follow-up and organizational skills.
• Excellent written and verbal communication.
• High attention to detail and accuracy.
• Ability to manage multiple requests and deadlines independently.
• Comfortable communicating with insurance carriers, patients, and medical office staff.

Independent Contractor Perks

• Health Insurance.
• Immediate Hiring.
• Permanent Work from Home.

Note:

• Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

Important Disclaimer:

• BruntWork never charges fees for applying or any part of the hiring process—it is 100% free. If you are ever asked for payment, please stop and report it immediately to our official email us through the ‘Contact Us’ form on our official BruntWork website. 

BruntWork never charges fees for applying or any part of the hiring process—it is 100% free. If you are ever asked for payment, please stop and report it immediately to our official email us through the ‘Contact Us’ form on our official BruntWork website.