Title: Authorization Specialist II #Full Time #Remote Location: Remote, NY Department: CRO - Authorization Unit NY Job Description: Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area (New York, New Jersey, or Connecticut). Note: There may be occasional requirements to visit the New York or New Jersey office for training, meetings, and other business needs. Job Summary: The Authorization Specialist II is responsible for verifying insurance policy benefit information, and securing payer required authorizations. This position is responsible for obtaining accurate and timely pre-authorizations for professional services prior to the patient s visit, scheduled admission, or immediately following hospital admission. Prior authorizations may include, but are not limited to surgical procedures, outpatient treatments, medications and diagnostic testing (i.e. ultrasounds, labs, radiology, IV therapy, referrals) Job Responsibilities: - Verifies insurance coverage via system tools, payer portals, etc. and update changes in billing system. - Confirms provider s participation status with patient s insurance plan/network. - Determines payer referral and authorization requirements for professional services. - Contacts patient and PCP to secure payer required referral for planned services. - Documents referral in practice management system. - Researches system notes to obtain missing or corrected insurance or demographic information. - Reviews clinical documentation to insure criteria for procedure meets insurance requirements. - Initiates authorization and submits clinical documentation as requested by insurance companies. - Follows through on pre-certifications until final approval is obtained. - Communicates with surgical coordinators regarding authorizations status or denials. - Submits appeals in the event of denial of prior authorizations or denial of payment following procedures. - Set up peer to peer calls with clinical providers and insurance companies, as needed. - Calculate and document patient out of pocket estimates and provide to patient. - Assists Supervisor with special projects and/or tasks. - Assists Authorization-Referrals Specialist I with complex cases or questions. - Serves as back-up to Authorization-Referrals Specialist III. - Performs other job duties as assigned. Please note: While this position is primarily remote, candidates must be in a Columbia University approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the employee's responsibility and not be reimbursed by the company. Job Qualifications: - High school graduate or GED certificate is required. - A minimum of 1-year experience in a physician s billing or third payer environment. - Candidate must demonstrate the ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations. - Candidate must demonstrate strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner. - Must demonstrate effective communication skills both verbally and written. - Ability to multi-task, prioritize, document, and manage time effectively. - Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.) - Functional proficiency and comprehension of medical terminology. - Experience in Epic and or other electronic billing systems is preferred. - Knowledge of medical terminology, diagnosis and procedure coding is preferred. - Previous experience in an academic healthcare setting is preferred. Hourly Rate Ranges: $24.76 - $33.17 Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education. 61st Street Service Corporation At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.

Title: Authorization Clerk Location: United States - Remote Department: General Support Job Description: Description This is a US-based remote position. It requires daytime hours Monday-Friday. There will be a set training schedule for the first two weeks. After the training schedule, this position will require a start time between 5 am and 7 am MST. Responsibilities - Verifies patient insurance coverage timely utilizing phone or online resources - Requests missing documents/information when needed via phone or fax to clinicians - Handles any discrepancies with eligibility or demographic errors by interacting with clinicians and patients - Collaborate and provide process improvement suggestions to Supervisor and management - Participates in educational activities and attends regular staff and department meetings. - Exhibit and manage excellent turn-around time in order to ensure timely authorizations. - Demonstrate flexibility to perform duties wherever volume deems it necessary. - Document activities appropriately in process notes. - Participates in the Quality Assurance plan. - Complies with applicable CLIA and HIPAA regulations. Qualifications - High school diploma or GED equivalent required. - 1-3+ years of experience working in support role within medical billing, health insurance or collections with demonstrated results preferred. - Good problem solving and decision-making skills. - Excellent customer service and phone skills. - Excellent time management, organizational, communication, multitasking and teamwork skills. - Working knowledge of ICD-10, CPT and HCPCS coding (preferred but no required). - Ability to successfully navigate between multiple systems throughout the course of the work day this includes but is not limited to billing software, written Standard Operating Procedures and payer portals.

Role Description The Client Billing Supervisor oversees daily billing operations, ensuring accuracy in invoices, account management, and accounts receivable processes. This role leads a team, monitors aged accounts, resolves payment issues, and collaborates with internal teams and leadership to maintain strong financial performance. The Supervisor also supports staff development, analyzes trends, and drives process improvements to enhance efficiency and overall revenue cycle success. - Manage billing operations, fee schedule updates, and client maintenance requests - Monitor billing work queues, aged accounts receivable, and payment discrepancies - Ensure invoice accuracy and process billing corrections and adjustments - Communicate with corporate payers, Revenue Cycle leadership, and executive leadership regarding account issues and resolutions - Generate reports, analyze productivity metrics, and provide trend analysis to management - Review and approve employee scheduling requests and conduct performance discussions and audits - Support training and ongoing staff development initiatives - Collaborate with cross-functional teams to resolve operational and system-related issues - Create and manage operational, IT, maintenance, and support tickets - Track departmental goals, productivity, and performance outcomes - Maintain accurate records and provide recommendations for process improvements and system cleanup initiatives Qualifications - High school diploma or equivalent - 1+ year of related experience/training (or equivalent education and experience) - Knowledge of office software and medical billing software - Professional, polite, and customer-service oriented - Ability to work well with others in a close office setting - Strong focus and ability to concentrate for extended periods - Team-oriented, cooperative, and adaptable Requirements - Able to work at a computer for extended periods - Occasionally lift up to 15 lbs Benefits - Work with a team that values faith, integrity, and compassion - Supportive, inclusive, and casual work environment - Training and development to help you grow - No weekends – enjoy work-life balance - Competitive benefits, paid time off, and 401k with match

Role Description AO Globe Life is hiring motivated professionals to support credit union members who are already connected with our organization and seeking guidance on supplemental coverage options. This fully remote opportunity offers flexible scheduling and scheduled client consultations—there is no cold calling or prospecting required. In this role, you will meet virtually with individuals and families, provide personalized recommendations, and help them access life, accident, and supplemental coverage that supports their financial security. No prior industry experience is required. We provide full training and licensing support to help you succeed. - Conduct scheduled virtual consultations with credit union members via Zoom - Assess client needs and clearly explain available coverage options - Guide clients through the enrollment process with professionalism and care - Maintain accurate documentation and ensure compliance with regulatory standards - Participate in team training sessions, mentorship programs, and ongoing development opportunities Qualifications - Have strong communication skills and enjoy helping others - Are self-motivated, organized, and comfortable managing your schedule independently - Feel confident using Zoom, email, and cloud-based tools - Want to build a career where your work has meaningful impact - Are open to feedback and committed to professional growth - Have experience in customer service, consulting, or sales (helpful but not required) Requirements - Authorized to work in the United States - Reliable high-speed internet connection - Windows-based laptop or PC with a working webcam Benefits - 100% remote position available to U.S.-based professionals - Flexible scheduling that supports work-life balance - Warm, pre-qualified client consultations provided—no cold outreach required - Paid training and licensing support - Weekly commission-based earnings with performance bonuses - Long-term income potential through vested renewals - Advancement opportunities into leadership and mentorship roles - Supportive team culture focused on recognition, collaboration, and growth Company Description AO Globe Life is a mission-driven organization that provides supplemental coverage to working-class families across the United States. The company proudly serves credit unions, labor unions, and veteran organizations through personalized virtual consultations. With more than 70 years of experience and a growing remote-first workforce, AO Globe Life offers professionals the opportunity to build stable, flexible careers while making a meaningful difference in the lives of the families they serve. If you’re ready to start a people-focused remote career with real growth potential, we encourage you to apply today.