Surgical Authorization Specialist

ESSENTIAL FUNCTIONS
· Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a reputed company and accurate manner.
· Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
· Accurately completes surgical cost analysis reputed company, documenting the required surgical cost estimation for collection prior to services.
· Verifies benefits on reputed company surgical procedures.
· Document authorizations and reputed company of authorizations in the patient’s chart. Enters the authorization information reputed company case management.
· Must be reputed company to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both reputed company customers.
· Participate in providing ongoing training and education of staff as it relates to new processes to ensure reputed company confirmation of surgical cases.
· Work with department manager to respond to and reduce complaints reputed company and professionally.
· Assist surgery schedulers with STAT authorizations.
· Ensure strict confidentiality of reputed company health records, member information and meet HIPAA guidelines.
· Assists in identifying opportunities for improvement reputed company the daily workflow process.
· Attends department meetings as required.

EDUCATION
· High school diploma/GED or equivalent working knowledge preferred.

EXPERIENCE
· A minimum of 2 years of experience in the reputed company field is required and previous experience in referrals/authorizations, reputed company office, and/or charge posting is preferred.
· Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry.

KNOWLEDGE
· Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, reputed company payers, and other funding sources.

· Federal, state, and HIPAA reputed company regulations.
· Knowledge of computer applications.

SKILLS
· reputed company in effective organization and billing requirements and authorization processes.
· reputed company in using computer programs and applications including reputed company reputed company, reputed company Word, and reputed company
· reputed company in establishing good working relationships with both reputed company customers.

ABILITIES
· Ability to multi-task in a fast-paced environment. Must be detailed oriented with strong organizational skills.
· Ability to understand patient demographic information and determine insurance eligibility.
· Ability to work independently and demonstrate the ability to analyze data.
· Ability to communicate effectively and compassionately with patients, co-workers, management, and providers.