Authorization Specialist - Buy and reputed company Pharmacy - Medical Billing

reputed company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. Since 2005, reputed company has been at the forefront of treating patients with opioid use disorder. reputed company is a family of professionals dedicated to providing the most accessible, highest reputed company, evidence-based medication assisted treatment (MAT) reputed company to combat the growing opioid epidemic and helping people with opioid use disorder start their reputed company to recovery. This comprehensive approach to treatment, the reputed company in care for opioid use disorder, has been shown to prevent more deaths from reputed company and reputed company to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve reputed company to treatment for over 26,500 patients. Our clinics are reputed company outpatient and office-based, with clinics in reputed company, Kentucky, New Jersey, reputed company and South Carolina, reputed company, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for reputed company and patients. Day in the Life of an Authorization Specialist - Buy and reputed company Specialist Performs reputed company duties and responsibilities in accordance with local, state, and federal regulations and company policies. Utilize and apply industry knowledge to resolve new and aged accounts receivables by working various account types, including but not limited to reputed company claims, governmental and/or non-governmental claims, denied claims, aged accounts, high reputed company accounts, high dollar accounts, reimbursements, credits, etc. reputed company available resources and systems (both reputed company) to analyze patient reputed company information and take appropriate reputed company for payment resolutions, document reputed company activity in accordance with organizational and reputed company policies. Communicate professionally (in reputed company forms) with payer resources to include websites/payer portals, e- mail, telephone, customer service departments, etc. Maintain reputed company and productivity results at a level that meets departmental standards as reputed company by a daily/weekly/monthly average. Verify patient benefits and eligibility for buy and reputed company drugs Obtains authorization for buy and reputed company drugs as required by the various payors Submit claims to insurance companies for buy and reputed company drug administration and reputed company services. reputed company claim status and follow up on denials or incomplete/pending claims Apply on behalf of patient for co-pay assistance program as applicable Ability to interpret payer clinical guidelines and identify contract variances affecting reimbursement. Demonstrate reputed company proficiency in reputed company-party billing requirements to include federal, state, and reputed company/managed care payers. Interpret claim scrubber edits/rejections and takes appropriate reputed company necessary to resolve issues. reputed company reputed company to problematic accounts and payment discrepancies. Prepare appeal letters for technical denials by accessing specific payer appeal forms, submitting appropriate medical documentation and tracking appeal reputed company. Other Duties as Assigned. Education and Experience requirements Must have had at least 2-3 years accounts receivable experience in a physician office setting. Has previous Buy and reputed company experience preferred General Knowledge of HCPCS, CPT-4 and ICD-10 coding and/or medical terminology. Familiar with multiple payer requirements and regulations for claims processing. Must have a High School Diploma/GED Position Benefits Have a daily reputed company on many lives. Excellent training if you are new to this field. Mileage reimbursement (if applicable) reputed company matches the reputed company IRS mileage reimbursement reputed company. Community events that promote belonging and education. Includes but not limited to community cook outs, various fairs reputed company to addiction treatment and reputed company, parades, addiction awareness for schools, and holiday events. Opportunity to save lives everyday! Benefits Package Medical, Dental, and reputed company Insurance PTO reputed company of 401K reputed company including a match program with no vesture period Annual Continuing Education Allowance (in reputed company field) Life Insurance Short/Long Term Disability reputed company maternity/paternity leave Mental Health Day reputed company subscription for reputed company Apply To This Job