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Insurance Authorization Specialist in Charleston, SC

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 treatments.Review patient records and insurance details to confirm coverage and benefits.Communicate with insurance companies, providers and patients to resolve authorization concerns.Maintain accurate documentation in electronic health record systems.Collaborate with clinical and administrative teams to prevent delays in care.Monitor payer requirements and update processes to ensure compliance.Provide clear, professional communication to patients regarding authorization status.Assist with reporting and audits related to insurance authorizations.

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Salary for Insurance Authorization Specialist in Charleston, SC

37440 - 44880

Low
37440
The candidate is new to the role or has limited experience and is building necessary skills.
Mid
38880
The candidate has moderate experience in the role, meets most requirements or has equivalent transferable skills, and may also have relevant certifications.
High
44880
The candidate has extensive experience and advanced skills for the role, and may also have specialized certifications.
Projected salaries for related positions Job title Low Mid High Medical Coding Manager 63120 71280 81360 Certified Professional Coder 50880 58560 68640 Credentialing Specialist 42000 46800 54720 Intake/Admissions Specialist 37920 40800 43920 Patient Access/Services Specialist 36240 39600 42960 Medical Customer Service Specialist 35520 38880 44880 Medical Scheduler 36480 38640 41280 Medical Data Entry Specialist 34800 38160 42480 Insurance Verification Specialist 35520 37920 44640 Insurance Referral Coordinator 35280 37680 43440 Electronic Medical Records Specialist 32160 34320 37200

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Our starting salary projections come from a rigorous, multistep process so that our numbers accurately reflect the marketplace. They are based on actual compensation for professionals Robert Half has matched with employers across the country and third-party job posting data from Textkernel that we use to independently validate the salary levels. Starting compensation—pay for someone new to a role—can vary significantly based on a candidate’s skills, experience and certifications, as well as other factors including industry, company size and revenue, and demand for the role. To reflect this variability, we report our salary data in three levels: low, mid and high.