Authorizations Specialist

2 weeks ago

New York, United States True Care Full time
Job DescriptionJob DescriptionSalary: $23 per hour

Company Overview: Empowering Health, Enriching Lives: True Care’s Enduring Mission


At True Care, we stand as a beacon of compassion and excellence in home healthcare. With a profound commitment to enhancing the quality of life for individuals and families, our mission is to provide holistic, personalized care that empowers health and enriches lives.


Every day, we embark on a journey to bring comfort, vitality, and dignity to those we serve. Our mission is driven by a deep understanding of the unique needs and aspirations of each individual under our care. We believe that home is not just a place but a sanctuary where healing and well-being flourish best. Hence, we endeavor to make this sanctuary a haven of health and happiness.


We pledge to create a nurturing environment where our clients and their families feel heard, valued, and supported. Our highly trained and empathetic professionals are not just caregivers but partners in the pursuit of well-rounded wellness. With a focus on open communication, collaboration, and respect, we forge lasting relationships that transcend the boundaries of traditional healthcare.


Our mission is to be a guiding light, illuminating the path toward optimal health and well-being. As we navigate challenges and triumphs together, we remain resolute in our dedication to uplifting lives, one compassionate interaction at a time.


At True Care, we don't just offer home healthcare – we offer hope, healing, and a brighter tomorrow. 


Position Title: Authorizations Specialist


Reports to: Director of Finance


Job summary: The Authorizations Specialist handles all aspects of authorizations for patient services and is the liaison between the company and contracted partners. He/she is responsible for ensuring data received from our contracts is accurate, verified and then entered into the system. The Authorizations Specialist ensures continuity of service by acquiring authorizations as needed and confirming eligibility for active patients under all lines of business.


Responsibilities include:


● Responsible for reviewing insurance authorization forms for services provided to clients for corrections
● Monitor and track patient authorizations, informing supervisor of any expired dates
● Review and audit all authorizations for appropriate codes and units before entering into system
● Enter all confirmed authorizations into HHA eXchange and notify appropriate departments to continue with scheduling services
● Routinely verify insurance eligibility on contract websites and portals
● Routinely verify Medicaid eligibility on ePaces
● Follow processes and notify appropriate teams regarding lost eligibility or disenrolled members
● Run reports on upcoming expiring authorizations and follow processes to get increases for patient services
● Follow processes for paperless systems including eFax data tracking and scanning all documentation to centralized location
● Participate in data retrieval for claims appeals and requests for payment
● Liaison between the insurance companies and the agency
● Maintain appropriate logs or reports according to company standards
● Provide superior customer service through phone/fax management skills, computer documentation of codes and information for claims


Job requirements:


● High School Graduate/ GED equivalent
● Knowledgeable of basic office software technology; ePACES is a plus
● Must be able to communicate professionally over the phone, in person and through email communication
● Experience in HHA eXchange is a plus
● Able to successfully work well in a team and also independently on certain projects and tasks


True Care provides equal employment opportunities to all employees and applicants for employment without regard to race, religion, color, ethnic origin, gender, gender identity, age, marital status, veteran status, sexual orientation, disability, or any other basis prohibited by applicable federal, state, or local law.

  • Authorization Specialist

    4 weeks ago

    New York, United States ABConsulting BK NYC LLC Full time

    Job DescriptionJob Description9:00 AM - 5:00 PM- In house Job Description:We are seeking a dedicated and detail-oriented Authorization Specialist to join our team in Brooklyn, New York. The ideal candidate will have a minimum of one year of experience in a similar role within the home care industry. As an Authorization Specialist, you will play a crucial...

  • Authorization Specialist

    10 hours ago

    New York, United States New York Cancer & Blood Specialists Full time

    Job DescriptionJob DescriptionAuthorization SpecialistRidge, NYAt New York Cancer & Blood Specialists (NYCBS), we foster an environment where passionate professionals thrive. Our 200+ oncologists, hematologists, and staff across 25 locations are united by a mission: redefining what's possible against cancer and blood disorders. With cutting-edge...

  • Prior Authorization Specialist

    1 day ago

    New York, United States Medix Full time

    We are hiring for Prior Authorization Specialists to join our team in the Manhattan, NY area. We are seeking candidates who are a team player, organized, and someone who is both reliable and responsible. If you feel you are a good fit for this position based on the listed requirements, apply today! Please note: this is an in person position What's in it...

  • Intake Screener and Authorization Specialist

    1 month ago

    New York, United States Northeast Family Services Full time

    Job DescriptionJob DescriptionThis is a hybrid position.Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for Northeast...

  • Intake Screener and Authorization Specialist

    1 month ago

    New York, United States Northeast Family Services Full time

    Job DescriptionJob DescriptionThis is a hybrid position.Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for Northeast...

  • Authorization-Referrals Specialist II #Full Time

    23 hours ago

    New York, United States 61st Street Service Corporation Full time

    Job Summary:The Authorization-Referrals Specialist II is responsible for verifying insurance policy benefit information, and securing payer required referrals and authorizations. This position is responsible for obtaining accurate and timely pre-authorizations for professional services prior to the patient's visit, scheduled admission, or immediately...

  • Insurance Authority Sales/Training Specialist

    2 days ago

    New York, United States LexisNexis Full time

    Job DescriptionJob DescriptionWe are looking for an Insurance Law Specialist to help spread the word on the soon to launch Law360 Insurance Authority product. Law360 Insurance Authority combines the speed and quality of Law360 with the experience of best-in-class insurance reporters to provide in-depth coverage of property, specialty lines, and general...

  • Authorization-Referrals Specialist I #Full Time

    1 day ago

    New York, United States 61st Street Service Corporation Full time

    Job Summary:The Authorization-Referrals Specialist I is responsible for verifying insurance policy benefit information, and securing payer required referrals and authorizations. This position is responsible for obtaining accurate and timely pre-authorizations for professional services prior to the patient's visit, scheduled admission, or immediately...

  • Surgical Authorization Coordinator- 214375

    18 hours ago

    New York, United States Medix™ Full time

    Role Overview: Seeking an Authorization Specialist to obtain authorizations for surgical and radiology procedures, verify patient insurances and obtain benefits, communicate with physician offices regarding authorization statuses, and request and deliver estimates for hospital services. Need someone with strong customer service skills who is familiar with...

  • Surgical Authorization Specialist

    3 weeks ago

    New York, United States Medix Full time

    Embark on an Exciting Journey as an Insurance Coordinator!Introduction: Are you ready to elevate your career in the healthcare industry? Look no further! We're seeking a dedicated Insurance Coordinator to join our esteemed team at the forefront of orthopedic excellence. As the #1 orthopedic hospital in the world, we pride ourselves on delivering unparalleled...

  • Intake Screener and Authorization Specialist

    1 month ago

    New Rochelle, United States Northeast Family Services Full time

    Job Description Job Description This is a hybrid position. Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for...

  • Intake Screener and Authorization Specialist

    5 days ago

    New Rochelle, United States Northeast Family Services Full time

    This is a hybrid position. Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for Northeast Family Services in New York....

  • Intake Screener and Authorization Specialist

    1 month ago

    New Rochelle, United States Northeast Family Services Full time

    Job DescriptionJob DescriptionThis is a hybrid position.Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for Northeast...

  • Intake Screener and Authorization Specialist

    4 days ago

    New Rochelle, United States Northeast Family Services Full time

    This is a hybrid position.Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist!The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for Northeast Family Services in New York....

  • Assessment Specialist

    1 week ago

    New York, New York, United States The Port Authority of NY & NJ Full time

    The Human Resources Department is seeking an Assessment Specialist in the Assessment Services Unit. The Assessment Specialist will work as part of a team that is responsible for developing valid selection processes that ensure the highest quality of candidates for a wide range of Port Authority positions. The Assessment Specialist will be primarily focused...

  • contract specialist

    4 weeks ago

    New York, New York, United States Department Of The Air Force Full time

    Summary This National Guard position is for a Contract Specialist, Position Description Number T and is part of the 177TH MSQ GP.The primary purpose of this position is to ensure successful market research, acquisition planning, contract award, contract performance management, and interpretation of contract law in order to provide the best, most efficient...

  • GPV Submission Specialist

    1 month ago

    New York, United States CareerBuilder Full time

    Consultant, GPV Case Management Product Specialist, Pharmaceuticals Summary Our growing, mid-sized pharmaceutical client has engaged GForce Life Sciences to provide a GPV Submission Specialist responsible for managing daily operational activities of the Global Submissions Team within Case processing. This candidate will collaborate with Regulatory...

  • Precertification Specialist

    1 week ago

    New York, United States PRIDE Health Full time

    Job Title: Precertification SpecialistLocation: Flushing, NY 11355Shift: Days (M-F)Duration: 2 Months with a strong possibility of extensionPay Range: $24 to $26/Hour.Job Description:Knowledge of pre authorization OB/GYN ultrasound and CPT codes. Minimum formal education of a High School Diploma.Minimum 12 months of job-related experience. Must have...

  • Cloud Cybersecurity Specialist

    1 week ago

    New York, United States Systemtec Full time

    Cloud (AWS) Cybersecurity Specialist – ONSITE in Columbia, SC 15226 SYSTEMTEC is seeking a Cloud (AWS) Cybersecurity Specialist with a deep-rooted background in cyber threat response and incident handling in an AWS environment. Required Qualifications of the Cloud (AWS) Cybersecurity Specialist: Applicants must be authorized to work for any employer in the...

  • Precertification Specialist

    2 weeks ago

    New York, United States Pride Health Full time

    Job Title: Precertification SpecialistLocation: Flushing, NY 11355Shift: Days (M-F)Duration: 2 Months with a strong possibility of extensionPay Range: $24 to $26/Hour.Job Description:Knowledge of pre authorization OB/GYN ultrasound and CPT codes. Minimum formal education of a High School Diploma.Minimum 12 months of job-related experience. Must have...