Authorizations Specialist

Job Title: Authorizations Specialist

Location: South Africa

Job Type: Full-Time, Remote

Working Hours: US Hours (9am-5pm EST)

Salary: South African Rand (ZAR)

Position Overview

Responsible for obtaining, managing, and tracking insurance authorizations for therapy services while ensuring timely communication with patients, providers, and insurance companies. This role requires excellent multitasking, strong organizational skills, and the ability to thrive in a fast-paced healthcare environment.

Responsibilities

• Obtain and manage insurance authorizations for Physical and Occupational Therapy services.
• Verify insurance benefits and authorization requirements.
• Communicate with insurance providers via phone and email regarding authorization status.
• Coordinate with therapists, clinical staff, and patients to ensure timely approvals.
• Maintain accurate documentation and patient records.
• Track authorization expirations, renewals, and follow-up requests.
• Resolve authorization issues and escalate denials when necessary.
• Ensure compliance with payer guidelines and company procedures.

• Previous experience in medical insurance authorizations (preferred).
• Knowledge of medical terminology, including Physical and Occupational Therapy terminology.
• Experience with Managed Care insurance authorizations.
• Strong multitasking and organizational skills in a fast-paced environment.
• Excellent verbal and written communication skills.
• Professional phone etiquette and email communication.
• Proficiency in Microsoft Office, VoIP phone systems, and PDF editing software.
• High attention to detail and accuracy.
• Ability to work independently and meet deadlines.

1. Comfortable working U.S. hours
2. Remote work from home

Fraud Disclaimer:  ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.