Insurance Authorization Specialist

Location: Remote

About The Role

BlueSprig is seeking a detail-oriented and customer-focused Insurance Authorization Specialist to join our Operations Support team. In this role, you will play a vital part in ensuring our clients receive timely access to medically necessary services by managing insurance authorization requests and supporting our clinical teams. The ideal candidate has experience working with insurance payers, thrives in a fast-paced environment, and is comfortable balancing independent work with cross-functional collaboration. This position reports directly to the Authorization Supervisor.

Responsibilities

• Submit initial and ongoing insurance authorization requests accurately and efficiently.
• Monitor authorization status and follow up with insurance payers as needed.
• Communicate with insurance companies, clinic teams, and internal departments regarding authorization updates.
• Maintain accurate documentation within company systems.
• Ensure authorizations are obtained in a timely manner to support continuity of care.
• Provide exceptional customer service while resolving authorization-related questions and issues.
• Prioritize multiple tasks and meet established deadlines in a fast-paced environment.
• Collaborate with internal teams to improve processes and ensure operational excellence.
• Submit authorizations by contacting payors in a timely manner via phone as well as various portals.
• Understand the authorization process and navigate the payor requirements accordingly.
• Enter authorization information accurately in Central Reach system.
• Provide clear, concise communication regarding authorizations to center team members.
• Provide support to clinics in review of authorization requests.
• Collaborate with all RCM teams and other departments to ensure efficiencies and strong communication and escalation of issues and/or enhancements.
• Identify critical issues and provide possible solutions in addition to elevating problems to leadership.
• Collaborate with the Auth/VOBE Supervisor on special projects, workflow optimization, and improvement efforts.
• Prioritize and multi-task efficiently while balancing a large work volume.
• Monitor authorization expirations and timely submission of authorization requests.

Requirements

• Experience working with insurance payers.
• Prior insurance authorization experience.
• Strong computer proficiency and the ability to learn new systems quickly.
• Excellent organizational, time management, and communication skills.
• Ability to work independently while collaborating effectively with a remote team.
• High attention to detail and accuracy.
• Exceptional analytical, conceptual, and problem-solving skills with the ability to define problems and disseminate significant amounts of information with attention to detail and accuracy.
• Self-starter who can work in an unstructured environment, independently or in collaboration with a team.
• Inherent flexibility in demeanor with a positive can-do attitude and an entrepreneurial spirit.
• Demonstrated ability to effectively communicate both verbally and in writing.
• Strong organizational and follow-up skills with an ability to work well under pressure.
• Ability to develop effective working relationships within the RCM department and across the organization.
• 1+ years of experience in healthcare authorizations preferred.
• Strong knowledge of Microsoft Excel and Word.

Preferred Qualifications

• Previous experience in Applied Behavior Analysis (ABA) or a healthcare setting.
• Experience supporting pediatric healthcare or behavioral health services.

Benefits

At BlueSprig, our mission is to change the lives of children with autism through compassionate, evidence-based care. Behind every successful authorization is a team member helping families access the services they need. If you're passionate about making a meaningful impact while working with a supportive and collaborative team, we'd love to hear from you.

Schedule

Monday-Friday, 8:00 AM-5:00 PM (Candidate's Local Time)

Pay

$20.00-$22.00/hour based on experience