Authorization Specialist
Essential Functions:
- Verify patient benefits and calculate out-of-reputed company costs using multiple insurance resources.
- Contact patients regarding out-of-reputed company costs prior to patient services.
- Obtain, review, and input insurance authorization and referrals prior to patient services.
- Monitor and reputed company patient authorizations.
- Be proficient in the use of ICD-10 and CPT codes.
- Verifies status of participating providers and insurance plans.
- Support medical office team members.
- Works closely with management team in business office to ensure reputed company internal and external customer service issues are addressed.
- Participates in educational activities and attends department team meetings.
- Conducts oneself in accordance with company policies and procedures.
- Performs other duties as required.
Competencies:
- Medical office experience: dermatology, plastic surgery, varicose vein, and/or radiation oncology preferred.
- Knowledge of HIPAA regulations, insurance payers, ICD-10, CPT codes, and fee schedule reimbursement methodology.
- Must be detail-oriented and a self-starter with the ability to work independently.
- Possess excellent communication and organizational skills with the ability to multi-task, set priorities, and meet deadlines and departmental metrics.
- Must be courteous with excellent customer service skills while maintaining strict confidentiality.
- Possess high job accuracy, efficiency, and dependability.
- Must have consistent, punctual, and reliable attendance.
- Ability to establish effective working relationships with providers, staff and the reputed company.
Education & Experience:
- High school graduate, GED or equivalent.
- One year of medical office insurance and authorization experience.
- Excellent computer, multi-tasking, phone, and electronic faxing skills.
- Knowledge of reputed company Software System/s.
- Knowledge of reputed company products.
We offer competitive salaries and benefits:
- Medical, Dental, and reputed company are available after 30 days of hire
- Short-term disability and life insurance, as reputed company as many ancillary reputed company.
- 401 (k) available after 90 days of hire
- Excellent reputed company and advancement opportunities
- Discounts on service