Authorization Specialist

About Our Client:
New England Life Care (NELC) is a non-profit home infusion therapy provider serving more than 70 hospital systems across Maine, New Hampshire, and Massachusetts. Established by local hospitals, the organization focuses on delivering patient-centered care aligned with hospital commitments to quality and service.
About the Opportunity:
The AUTHORIZATION SPECIALIST is responsible for obtaining and maintaining prior authorizations for patient medications and therapies. This role supports clinical review and billing departments by securing necessary documentation to ensure compliance with payer requirements. The position plays a key role in facilitating patient access to prescribed treatments.
Responsibilities:
Achieve performance appraisals meeting expectations or better
Maintain punctuality and attendance standards
Follow Authorization Request processes independently for all payers
Manage Re-Authorization and Specialty authorization processes
Authorize all services and accurately document and communicate changes
Address tasks promptly without extended delays
Collaborate effectively within a team and communicate confidently
Complete three continuing education programs related to professional development, LEAN, or leadership
Requirements:
High school diploma or equivalent
Minimum two years of experience in authorization, reimbursement, or claims processing
Practical knowledge of medical terminology; CPT, ICD-9, HCPC coding preferred
Familiarity with Medicare, Medicaid, and third-party payor contracts preferred
Understanding of HIPAA Privacy and Security requirements preferred
Strong organizational and problem-solving skills
Basic accounting and analyst skills
Ability to work independently and in a team
Experience with Microsoft Word and Excel
Pay Range and Compensation Package:
The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
Benefits & Perks:
Remote position
Opportunities for growth and advancement
Health insurance
Dental insurance
Vision insurance
Employer-matched 403b savings program
Company-paid life insurance, short- and long-term disability insurance
Paid time off
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

Work arrangement
Yes