Top 23396 Authorization representative Jobs

Authorization Representative (Specialty)
KabaFusion —Carrollton, TX
- Full-time
- Microsoft Excel
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
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Multi-Line Claim Representative I
CCMSI —Chicago, IL
- $65,000 - $75,000 a year
- Monday to Friday
- Hybrid work
- Spanish
- Writing skills
- Mid-level
- Paid holidays
- Disability insurance
9d
Medical Records Coordinator
Rancho Health MSO, Inc —Temecula, CA
- $23 - $25 an hour
- Full-time
- Spanish
- HIPAA
- High school diploma or GED
- AD&D insurance
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Authorization Representative
Therapeutic Associates Physical Therapy —Remote
- $17 - $20 an hour
- Full-time
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- Customer service
- Medical office experience
- Physical & Rehabilitation Medicine
- Profit sharing
- Wellness program
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Authorization Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
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- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
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Scheduling and Prior Authorization Representative- Remote
McKenzie Health —Watford City, ND
- Weekends as needed
- Remote
- Background check
- Word processing
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- 403(b) matching
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Insurance Authorization Specialist II
SYSTEM West Virginia University Health System —Remote
- Full-time
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- Microsoft Outlook
- Computer literacy
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Medical Order Specialist (REMOTE)
Aveanna Healthcare —Oklahoma City, OK
- $17 - $19 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
- Paid holidays
- Dental insurance
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Intake Care Representative - Evernorth - Remote
The Cigna Group —Florida
- Online Application
- Remote
- Medical office experience
- Administrative experience
- High school diploma or GED
Patient Benefits Coordinator
CCRM Fertility —Arizona
- $18 - $24 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
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Pharmacy Care Representative - Work From Home Texas (MST or CST)
CVS Health —Texas
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
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- Windows
- Paid holidays
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Pre-Registration Specialist, Per Diem
Samaritan —Washington, DC
- $21.10 - $26.26 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
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Pharmacy Care Representative - Work From Home Pennsylvania
CVS Health —Pennsylvania
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Care Navigator (Remote - Massachusetts)
CareSource —Massachusetts
- $41,200 - $66,000 a year
- Full-time
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- Basic math
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Pharmacy Technician - Work From Home Arizona
CVS Health —Arizona
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Intake Representative - ALBUQUERQUE, NM
COMAGINE HEALTH —New Mexico
- $20 - $23 an hour
- Remote
- Mid-level
- High school diploma or GED
- Ability to sit for extended periods
- Paid parental leave
- Health insurance
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Pharmacy Care Representative - Work From Home Michigan
CVS Health —Michigan
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Pharmacy Care Representative - Work From Home North Carolina
CVS Health —North Carolina
- $17.00 - $25.65 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid training
- Paid holidays
Pharmacy Care Representative - Work From Home Florida
CVS Health —Florida
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Outlook
- Windows
- High school diploma or GED
- Paid holidays
- Health insurance
Billing Representative
Reliable Respiratory —Portland, ME
- $30 - $35 an hour
- Full-time
- Remote
- 18 years or older
- Computer literacy
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Authorization Representative (Specialty)

KabaFusion
Carrollton, TX

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Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Paid time off
401(k) 4% Match
Employee assistance program
401(k) matching
Life insurance
Referral program

Qualifications

Medicare
High school diploma or GED
Medicaid health insurance
HCPCS
Medicare regulations
Medicaid regulations
Medicaid
Cross-functional collaboration
Medical terminology
Cross-functional communication

Full Job Description

Come join an exciting and innovative company that puts the “care” back in healthcare!

At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work.

About Us:

What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion.

JOB SUMMARY:

This position is responsible for ensuring patients continue care without delay by securing accurate insurance verification, required authorizations, and complete start‑of‑care documentation. This position protects revenue integrity, supports clean claims, and ensures compliance while coordinating effectively with patients, payers, and internal teams in alignment with the organization’s mission and operational goals.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Provides courteous and professional telephone support to patients, families, referral sources, payors, and clinical staff.

2. Verifies insurance coverage prior to deliveries to ensure accuracy, active coverage and notifies internal departments and patients of any policy changes or benefit terminations.

3. Ensures services to be provided are eligible and covered under the patient’s insurance benefits.

4. Ensures accurate and timely completion of start‑of‑care, Financial Obligation, and Medicare/Medicaid forms and coordinates prompt distribution to the Pharmacy and Nursing Departments via electronic or postal delivery.

5. Collects, verifies, and documents insurance cost‑share and authorization details, including coinsurance, copays, deductibles, and requirements.

6. Tracks authorization needs and expirations and secures authorization for ongoing patient care to prevent missed administration of medication.

7. Provides timely notification to internal stakeholders, prescribers, and patients regarding authorization approvals, issues, or delays in care.

8. Accurately estimates patient financial responsibility by applying insurance verification information, payer contracts, and self‑pay policies.

9. Coordinates and documents patient start‑of‑care materials, creating additional documentation on a timely basis as needed to support compliant service delivery.

10. Ensures complete and accurate documentation of eligibility, authorization, and communications within the electronic medical record.

11. Assists with analyzing and resolving insurance claim rejections to support timely and accurate reimbursement.

12. Protects patient health information by following regulations for HIPAA compliance

13. Other related duties as assigned by manager or designee.

JOB REQUIREMENTS AND QUALIFICATIONS

Education:

High school diploma or equivalent education.

Experience

Minimum of two (2) years in home infusion or fast-paced health care environment

Experience with …

Proficient experience with Microsoft Office including Word, Excel, and Teams, and/or electronic health care record software system preferred.

Skills and Competencies:

Knowledge of HCPCS/CPT codes, authorization submission processes, and insurance coverage requirements, including Medicare, Medicaid, and commercial plans, with familiarity in medical terminology and billing pricing methodologies.
Strong problem-solving skills with the ability to proactively research, analyze, and resolve issues independently, demonstrating initiative and sound judgment.
Proficiency in learning and working with internal company platforms, including billing, authorization, and patient management systems.
Ability to work independently with minimal supervision while effectively prioritizing, multitasking, and meeting goals and deadlines, as well as collaborating successfully with cross-functional teams.
Demonstrated accuracy in calculating pricing quotes and authorization lengths using approved units and days, coupled with effective communication skills when interacting with patients, clinical teams, and corporate departments.

What we offer:

Competitive compensation
Benefits start on your 1st day of employment
401k w 4% match – no waiting or vesting period
PTO / Floating Holidays / Paid Holidays
Company paid life insurance, short term disability
Employee Assistance programs to help with mental health / wellness
Learning & Development Programs
Perks… includes discounts on travel, cell phone, clothing and more…
Generous employee referral program

To learn more about KabaFusion, please visit our careers page: https://www.kabafusion.com/careers/

Join us and find out why this is the place to excel and do your best work.

Quick Apply

Refine Your Search

authorization representative jobs

Authorization Representative (Specialty)

Multi-Line Claim Representative I

Medical Records Coordinator

Authorization Representative

Authorization Specialist - Revenue Cycle Management

Scheduling and Prior Authorization Representative- Remote

Insurance Authorization Specialist II

Medical Order Specialist (REMOTE)

Intake Care Representative - Evernorth - Remote

Patient Benefits Coordinator

Pharmacy Care Representative - Work From Home Texas (MST or CST)

Pre-Registration Specialist, Per Diem

Pharmacy Care Representative - Work From Home Pennsylvania

Care Navigator (Remote - Massachusetts)

Pharmacy Technician - Work From Home Arizona

Intake Representative - ALBUQUERQUE, NM

Pharmacy Care Representative - Work From Home Michigan

Pharmacy Care Representative - Work From Home North Carolina

Pharmacy Care Representative - Work From Home Florida

Billing Representative

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