Authorization Monitoring and Tracking Specialist

Position Summary :

The Authorization Monitoring and Tracking Specialist is responsible for managing and overseeing all payer authorization processes to ensure timely approval and continuity of patient care. This position plays a vital role in coordinating with care coordinators, payers, and clinical teams to track, follow up, and record all initial and additional authorizations accurately and efficiently.

Key Responsibilities :

• Review new referrals & additional visit requests daily, log into the Authorization Tracker.
• Monitor payer portals (e.g., Kaiser, Carelon, other insurance); follow up if no response in 48 hours.
• Notify care coordinators on approvals / denials with authorization, dates, visit counts, and conditions.
• Enter approvals into the back-office / EMR; attach letters / screenshots; ensure billing / scheduling visibility.
• Flag expiring authorizations (7–10 days out); compile weekly summary for DPCS.
• Escalate after 5 business days without response or for repeated denials / urgent cases.
• Maintain organized, audit-ready records (letters, emails, date-stamped trackers).

Qualifications :

Preferred :

Benefits :

To Apply

Send your resume and cover letter to this posting with the subject line :

“Authorization Monitoring and Tracking Specialist – [Your Name]”