Authorization Specialist

Job Description

Job Description

Schedule: Monday-Friday, 7:00 AM-3:00 PM or 8:00 AM-4:00 PM (candidate preference)

Overview

The Authorization Specialist I is responsible for securing medical authorizations from third-party payers (commercial and government) for post-acute services. This role ensures timely pre-service approvals by managing documentation, payer communications, and tracking authorization outcomes. The specialist plays a key role in maintaining financial clearance and supporting patient access operations.

Key Responsibilities

• Complete full financial clearance for scheduled visits (insurance verification, pre-registration, authorization).

• Submit authorization requests and supporting clinical documentation to payers.

• Follow up with payers to secure determinations, escalating as necessary.

• Maintain and update patient accounts for medical and financial eligibility within Epic work queues.

• Coordinate with patients and referring departments to collect missing information or communicate financial status.

• Accurately document approvals and denials in a timely manner.

Selling Points

• Stable weekday schedule, no weekends

• Opportunity to gain or grow Epic EMR experience

• Cross-functional collaboration with finance, clinical, and access teams

• Career path in patient access, revenue cycle, or utilization management

Must-Have Skills / Qualifications

• High School Diploma (or equivalent) required

• 1-3 years of prior experience (authorization, patient access, or related role)

• Tech savvy , comfortable with electronic systems

• Epic EMR experience

• Strong knowledge of medical terminology and clinical concepts

Nice-to-Have Skills

• Bachelor's degree (or equivalent combination of education/experience)

• Previous experience as a Patient Access Representative or Authorization Specialist

• Prior exposure to commercial and government payer authorization processes

Soft Skills / Attributes

• Strong communication and follow-up skills

• Detail-oriented and highly organized

• Adaptable to shifting daily priorities

• Professional and empathetic when interacting with patients and payers

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?