Authorization Specialist

Position Overview

We are seeking a proactive, highly organized Patient Intake & Prior Authorization Specialist to manage the front-end patient onboarding and coverage approval process. In this dual-focus role, you will verify patient eligibility, register incoming referrals, secure insurance prior authorizations, and coordinate directly with clinical teams and third-party payers.

Key Responsibilities

Accurately collect and enter demographic, clinical, and insurance information for new and returning patients into the Electronic Health Record (EHR) system. Insurance Verification: Verify active coverage, copayments, coinsurance, deductibles, and network status across commercial plans, Medicare, and Medicaid. Prior Authorization Management: Prepare, submit, and track prior authorization requests for specialist consultations, procedures, diagnostic tests, and pharmaceuticals according to payer-specific criteria.

Clinical Coordination: Collaborate with physicians, nurses, and medical assistants to obtain necessary clinical documentation, chart notes, and letters of medical necessity. Denial Resolution & Peer-to-Peer Support: Monitor pending authorization requests, identify root causes for initial coverage denials, assist in drafting appeals, and schedule peer-to-peer clinical reviews when needed.

Patient Communication: Keep patients informed regarding the status of their authorizations, explain coverage limitations or out-of-pocket responsibilities clearly, and maintain compassionate customer service. Compliance & Recordkeeping: Adhere strictly to HIPAA guidelines, payer compliance timelines, and organizational protocols for document handling.

Qualifications

& Requirements Experience: 2+ years of experience in healthcare intake, patient access, prior authorization, or medical billing/scheduling. Insurance Knowledge: In-depth understanding of prior authorization workflows, payer portals (Availity, Cover. MyMeds, payer-specific web portals), and medical terminology (ICD-10, CPT, and HCPCS codes).

Systems Proficiency: Hands-on experience working with EHR/Practice Management platforms (e.g., Epic, Athenahealth, Cerner, or Kareo). Skills: Excellent communication and phone etiquette, strong attention to detail, and the ability to multitask in a fast-paced environment.

Education

High school diploma or equivalent required; associate degree or relevant medical administrative certification preferred.

What We Offer

Competitive hourly rate /based on experience. Comprehensive medical, dental, and vision benefits. 401(k) starting January 2026 Paid time off (PTO) and paid holidays. Ongoing training and professional growth opportunities. About Violet Health At Violet Health, our mission is to deliver seamless, compassionate, and patient-centered healthcare.

We recognize that a patient's care journey begins well before their first clinical encounter. Our Intake & Authorization team serves as the essential gateway, ensuring every patient accesses necessary treatments without administrative delays or unexpected financial burdens.