Payer Authorization Operations Associate
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Job Description
Payer Authorization Operations Associate supporting Abby Care’s AI-enabled family-led home-care platform. Managing authorization documentation, payer requirements, and caregiver-family communications.
Responsibilities:
- Collect, review, validate, and track documentation required for payer authorizations and re-authorizations
- Prepare and submit complete authorization packets before expiration to prevent interruptions in patient care
- Ensure documentation meets Medicaid, Medicare, payer, and state-specific requirements
- Maintain accurate documentation and records across internal systems
- Serve as a primary point of contact for families and caregivers regarding authorization status, documentation requirements, and benefit questions
- Manage approximately 50–70 inbound and outbound calls daily
- Respond to phone, email, and text inquiries and ensure timely follow-up
- Monitor authorization timelines and proactively identify upcoming expirations
- Prioritize competing requests while maintaining high accuracy and service levels
- Identify documentation issues and partner with internal teams to resolve them
- Collaborate with Onboarding, Credentialing, Family Support, Clinical Operations, and other internal teams
- Escalate complex authorization issues when appropriate
- Contribute to process improvements that increase efficiency and reduce authorization delays
Requirements:
- 2+ years of experience in healthcare operations, healthcare administration, customer service, or administrative support
- Experience managing prior authorizations, payer documentation, or healthcare operations
- Proven success handling high-volume inbound and outbound calls in a fast-paced environment
- Experience managing documentation with exceptional accuracy and attention to detail
- Familiarity with HIPAA, Medicaid, Medicare, or healthcare documentation standards
- Experience using CRM systems and collaboration tools such as Salesforce, Slack, Google Workspace, or similar platforms
- Strong organizational and time-management skills with the ability to prioritize multiple competing deadlines
- Excellent written and verbal English communication skills
- Employment contingent upon successful completion of a background check, satisfactory references, and any required documentation
- Ability to work Monday–Friday, 9:00 AM–5:00 PM Eastern Time
Benefits:
- Annual company performance bonus eligibility for global team members
- 15 days of paid time off
- 10 paid company US holidays
- Growth opportunities and leadership-skill development
- Remote work arrangement
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