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Insurance Authorization Specialist in Pittsburgh, PA

Insurance Authorization Specialist job description

The insurance authorization specialist manages the process of securing insurance approvals for medical services and procedures. This role ensures compliance with payer requirements and supports timely patient care by verifying coverage and obtaining necessary authorizations.Working closely with clinical teams, administrative staff and insurance carriers, the insurance authorization specialist reviews patient information, confirms eligibility and communicates with stakeholders to resolve authorization issues. This position plays a critical role in reducing delays and improving the patient experience through accurate and efficient authorization management.

Typical insurance authorization specialist duties:

Request and track insurance authorizations for scheduled procedures and treatmentsReview patient records and insurance details to confirm coverage and benefitsCommunicate with insurance companies, providers and patients to resolve authorization concernsMaintain accurate documentation in electronic health record systemsCollaborate with clinical and administrative teams to prevent delays in careMonitor payer requirements and update processes to ensure complianceProvide clear, professional communication to patients regarding authorization statusAssist with reporting and audits related to insurance authorizations

Looking for a insurance authorization specialist or a insurance authorization specialist job?

Request candidates now and a specialized recruiter will typically contact you within one business day to discuss your staffing needs and help you hire an insurance authorization specialist.Search insurance authorization specialist openings and apply now or submit your resume to be considered for opportunities that match your experience.

Salary for Insurance Authorization Specialist in Pittsburgh, PA

42230 - 50985

Low
42230
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
46608
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
50985
The candidate has extensive experience in the role, demonstrates advanced skills and often brings specialized certifications or industry experience.

Projected salaries for related positions

 Job title Low Mid High Medical Coding Manager 68753 78023 88838 Certified Professional Coder 55105 63603 74418 Credentialing Specialist 45835 50470 59483 Medical Customer Service Representative 43260 48925 54590 Intake/Admissions Specialist 41458 44033 47895 Patient Access/Services Specialist 39140 43260 47123 Medical Scheduler 39398 41715 45063 Medical Data Entry Specialist 37338 41200 46093 Insurance Verification Specialist 38625 43775 48925 Insurance Referral Coordinator 38110 41200 47123 Patient Registration Specialist 37853 44033 49440 Health Information Management Specialist 35793 40685 48410 Electronic Medical Records Specialist 34763 37080 40170

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