JobSpringAuthorization Specialist
RALEIGH MEDICAL GROUP PA · RALEIGH, NC 27607
About The Role
## Authorization Specialist
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| **Title:** | Authorization Specialist - RMG |
| **Location:** | In-Office – Raleigh, NC |
| **Department:** | Infusion |
| **Shift:** | Monday - Friday FT |
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**Authorization Specialist – Infusion**
*Raleigh, NC | In-Office*
**Support patient access to care—every day.**
Raleigh Medical Group, PA, is seeking an Authorization Specialist to support timely and accurate prior authorizations for medications, diagnostic procedures, and specialty services across the organization. This role plays an important part in ensuring patients receive access to care without unnecessary delays while maintaining strong communication with patients, providers, pharmacies, and insurance companies.
The Authorization Specialist works collaboratively with clinical and administrative teams to verify insurance requirements, monitor authorization status, and ensure accurate documentation within the EHR and practice management system..
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### **Key Responsibilities**
- Obtain prior authorizations and pre-certifications for medications, procedures, and specialty services
- Verify insurance benefits and identify authorization requirements as needed
- Monitor authorization status and follow up to prevent delays in patient care
- Communicate with patients, providers, pharmacies, and insurance companies regarding authorization requirements and updates
- Accurately document authorization and benefit information in the EHR and practice management system
- Maintain current knowledge of payer guidelines and authorization processes
- Collaborate with clinical and front office staff to coordinate patient care efficiently
- Communicate workflow updates and
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