Remote Authorizations Coordinator

About the role

The Authorizations Coordinator manages the full prior‑authorization and referral workflow for patient services in a fully remote setting. You will ensure requests are initiated, tracked, and completed according to payer rules, medical policies, and client expectations while supporting a fast‑moving, change‑driven environment.

Key responsibilities

• Receive, review, and process prior‑authorization and referral requests accurately and promptly.
• Initiate, track, and follow up on each request from submission through final determination.
• Verify patient demographics, insurance eligibility, benefits, referral requirements, and coverage details.
• Review medical documentation, CPT codes, ICD‑10 diagnosis codes, and payer guidelines to assess authorization needs.
• Enter authorizations and referrals into EMR systems, payer portals, and platforms such as Availity.
• Communicate with provider offices, insurance representatives, and internal teams to gather documentation and resolve issues.
• Maintain detailed logs of open cases, pending items, follow‑ups, and outcomes.
• Monitor authorization status, escalating denials, missing documents, or payer discrepancies.
• Support benefit verification and assist patients with required supporting documents.
• Respond to emails, calls, and internal messages in a professional and timely manner.

Required profile

• Smart, tech‑savvy, and experienced professional who thrives in a fast‑paced, evolving environment.
• Strong communicator who enjoys giving and receiving feedback.
• Team‑oriented with a high sense of accountability and a passion for continuous learning.

Required skills

• Experience with Availity or similar authorization platforms.
• Proficiency in EMR systems and payer portals.
• Knowledge of CPT coding and ICD‑10 diagnosis codes.