Medical Authorization Specialist 11:15 a.m. - 8:00 p.m. (ET) Monday - Friday at LifeNet Health – Virginia Beach, Virginia

AT LIFENET HEALTH, YOU ARE THE ADVANTAGE

Every day, YOU help us to save lives, restore health, and bring hope to patients and families around the world. At LifeNet Health, we cultivate growth, innovation, and collaboration, where your contributions drive solutions that benefit humanity.

Together, we are united by a mission greater than ourselves, a purpose rooted in healing.

ABOUT THIS JOB
Location: Remote

Department: Customer Experience

Schedule: Monday Friday, 11:15 a.m. 8:00 p.m. (ET)

Clinical Status: Non- Clinical

HOW YOULL MAKE AN IMPACT
The Medical Authorization Specialist supports LifeNet Healths reimbursement strategy by handling verification of insurance benefits and authorizations to ensure appropriate patient access to care. The role also serves as a subject matter expert for both our Sales and Marketing teams, as well as relevant insurance companies.

Your work will have purpose every single day, contributing directly to life-changing outcomes.

WHAT YOULL DO

• Patient Authorization: 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 companys products. Submits pertinent demographic and supporting clinical documentation with authorization requests timely to avoid unnecessary delays in patient treatment.
• Documentation: Maintains and documents complete, timely, and accurate case information, including Protected Health Information (PHI). Maintains patient records to ensure delivery against individual and department metrics.
• Policy Interpretation: Responsible for identifying medical insurance policies, interpreting coverage, and providing diagnosis coding based on company products.
• Patient Liaison: Works with external customers to secure any additional information and medical documentation from the patient and/or prescribing health care provider.

WHAT YOULL BRING
Minimum Requirements:

• High school diploma or GED
• One (1) year of insurance verification or medical authorization experience involving medical record review.

Key Knowledge, Skills, & Abilities:

• Communication Skills: Excellent verbal and written communication skills; ability to communicate and build relationships with all professionals at different levels within the organization.
• Time Management: Ability to prioritize multiple, competing priorities and manage time/workload. Demonstrated ability to effectively prioritize and juggle multiple time sensitive projects, multi-task, identify project interdependencies and potential risks/pitfalls.
• Attention to Detail: Ability to perform tasks thoroughly and with care; checks work to ensure high degree of accuracy/completeness and early/on-time delivery.
• Proficiency in Microsoft Office: PowerPoint, Excel, Word, Outlook, Microsoft Suite.
• Medical Terminology & ICD-10 Coding: Knowledge of and interpretation skills.

WHY JOIN LIFENET HEALTH

When you join LifeNet Health, you're not just taking a job, youre joining a mission-driven community dedicated to making a global impact through regenerative medicine. Youll be part of a workplace that values authenticity, collaboration, and the drive to make a difference.

We recognize that great work happens when people feel supported. Thats why our total rewards package is designed to help you thrive both professionally and personally.

Heres how we support YOU:

• Affordable Medical, Dental, and Vision Coverage- Comprehensive care that wont break the bank.
• Profit Sharing Plan- Share in the success you help create.
• 403(b) Retirement Plan- Invest in your future with confidence.
• Paid Parental Leave- 6 weeks to bond with your newest family member.
• Corporate Sponsored Events- Celebrate milestones and build connections.
• Generous Paid Time Off- Because balance matters:
  • 18 vacation days (based on position, tenure, and state laws)
  • 9 sick days (subject to local and state regulations)
  • 9 holidays (7 standard + 2 floating)
• Flexible Work Program- For approved roles, how and where you perform best.
• Tuition reimbursement- We invest in your growth and education.
• Career & Leadership Development- Expand your impact and potential.
• Wellness Program- Prioritize your health with holistic resources.
• Employee Assistance Program (EAP)- Support for you and your household.
• Incredible teammates- Collaborate with passionate, dedicated professionals.
  

Note: All benefits are subject to eligibility requirements and may be modified at any time, with or without notice, unless otherwise required by law. This job posting does not constitute an employment contract and does not alter the at-will nature of employment at LifeNet Health.

COMPENSATION

Salary Range: $16.83 - $28.05 hourly

Final compensation will be based on factors such as geographic location, qualifications, and prior relevant experience. The pay range for this position is $16.83 hourly (entry level qualifications) to $28.05 hourly (experienced in this role). Actual compensation may be higher based on the successful candidates knowledge and relevant experience.

EQUAL OPPORTUNITY EMPLOYER

LifeNet Health is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other legally protected status.

As part of our commitment to safety, we maintain a drug-free workplace and conduct pre-employment substance abuse screening.