Medical Authorization Specialist

1970-01-01Davis Companies Donald J. Lynch Boulevard, Suite 201MarlboroughMA01752USAcustomer support[+800-482-9494][+508-481-8519]
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Medical Authorization Specialist

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    • 38016
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Medical Authorization Specialist


  • Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans
  • Utilizes payer-specific approved criteria to determine medical necessity or the clinical appropriateness for the company's products
  • Submits pertinent demographic and supporting clinical documentation with pre-authorization requests timely to avoid unnecessary delays in patient treatment
  • Maintains and documents complete, timely, and accurate patient billing information
  • Performs on-going check and balance system to ensure the integrity of the patient billing data.
  • Operates compliantly at all times by keeping patient data secure and confidential and adhering to all company policies and procedures.
  • Works with order management team to secure any additional information and medical documentation from the patient and/or prescribing HCP
  • Complies with all health, safety and environmental policies, procedures and job hazard analyses applicable to specified job activities, including medical evaluations as required by job function.
  • Completes all required training in a satisfactory and timely manner


  • High school diploma plus a minimum of 2 years medical authorization experience involving medical record review required. College degree preferred.
  •  Knowledge and interpretation of medical terminology and ICD-10 coding.
  • Must possess good written and oral communication skills with the ability to interface with customers and company personnel at all levels.
  • Strong persuasion/negotiation skills.
  • Must display professional persistence, manage detailed information; maintain high level of organization; display strong proficiency in multi-tasking by effectively managing time and priorities.
  • PC experience in Microsoft Word, Excel, Outlook or other related software required.
  • Knowledge of SAP or other integrated software applications preferred.




Quick Apply

  • As an Equal Employment Opportunity Employer, DAVIS has reporting requirements which require us to invite employees to voluntarily self-identify their race/ethnicity. Submission of this information is voluntary and refusal to provided it will not subject you to any adverse treatment. The information obtained will be kept confidential.
  • Accepted file types: pdf, doc, docx, txt, rtf.
  • By applying to this position and providing my contact information, I give The DAVIS Companies permission to provide me with email communications and information.