Medical Insurance Authorization Specialist

Description

 Location: Berkeley, CA
Practice Type: Gastroenterology (5-Physician Practice)
Schedule: On-site, Monday–Friday, 8:30 a.m. – 5:00 p.m.

Job Summary

We are a busy, well-established gastroenterology practice in Berkeley, CA seeking an experienced Medical Insurance Authorization Specialist to join our team. This role is essential to ensuring timely prior authorizations and effective coordination between patients, providers, and insurance companies. The ideal candidate is detail-oriented, organized, and comfortable working in a fast-paced, multi-physician practice.

Key Responsibilities

• Obtain and manage prior authorizations for gastroenterology procedures, including but not limited to:
   
  • Colonoscopy
     
  • Endoscopy
     
  • GI-related imaging studies
     
• Verify insurance eligibility and benefits
   
• Coordinate with insurance companies to resolve authorization issues, denials, and appeals
   
• Communicate authorization status to providers, clinical staff, and patients
   
• Document all authorization activity accurately in the electronic medical record
   
• Assist with scheduling procedures and appointments as needed
   
• Answer phones and support front office operations during high-volume periods
   
• Perform other administrative and clinical coordination duties as assigned
   

Position Requirements

• This is a fully on-site position located in Berkeley, CA.
   
• Regular, in-person attendance is required Monday through Friday from 8:30 a.m. to 5:00 p.m.
   
• The role requires consistent availability during business hours to support insurance-related workflow, respond to incoming calls from insurance representatives, and provide real-time coordination with providers and staff.
   
• Timely communication and collaboration with clinical and administrative team members is essential.
   
• Adherence to practice policies, procedures, and scheduling expectations is required.
   

Required Qualifications

• Minimum of two (2) years of experience in medical insurance authorization or a related healthcare administrative role
   
• Strong knowledge of prior authorization processes for procedures and imaging
   
• Familiarity with commercial insurance plans, Medicare, and managed care
   
• Excellent attention to detail and strong organizational skills
   
• Ability to manage multiple priorities in a busy clinical environment
   
• Strong communication and customer service skills
   

Preferred Qualifications

• Experience working in a gastroenterology or specialty medical practice
   
• Epic EMR experience preferred
   
• Experience coordinating care in a multi-physician practice
   

Work Environment

• On-site position in Berkeley, CA
   
• Fast-paced, collaborative outpatient specialty practice
   
• Regular interaction with providers, staff, patients, and insurance representatives

Compensation & Benefits:

• Full-time, 40 hours per week, with occasional overtime as needed
   
• Comprehensive benefits package
   
• Competitive hourly pay based on experience
   
• Opportunities for growth and development
   

Why You’ll Love Working Here:

• Join a trusted, collaborative team of professionals
   
• Work in a well-established practice with a supportive environment
   
• On-site parking for convenience

Compensation Package

At BASS Medical Group, we understand that a comprehensive, high quality, and affordable health benefits program is now more essential than ever. The overall well-being of our employees is at the forefront of our focus. With this in mind, we offer our eligible employees a generous benefits program. 

Health & Welfare Benefits: Medical through Anthem Blue Cross PPO, Low-Cost Dental and Vision, Medical FSA & HSA. 

Retirement Savings & Income Security: Basic Life & AD&D Insurance, Long Term Disability, 401K plan with an employer contribution, Access to Financial Advisors, Identity Theft Program. 

Work/Life Balance Benefits: Paid Time Off and Company Paid holidays, Life Assistance Program, Commuter & Parking Benefits, 

Secure Travel Services, Healthy Rewards Program, Will Preparation Program, Additional perks to includ