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Authorization Specialist III #Full Time #Remote
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Job Description
- Req#: 3039
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $36.06 per hour
- Opportunity for career advancement and growth within the organization
- Primarily remote work with occasional office visits for training and meetings
- Comprehensive benefits package, including healthcare and paid time off
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care through effective authorization processes
What to Expect (Job Responsibilities):
- Verify insurance coverage through various system tools and payer portals
- Ensure timely pre-authorizations for professional services and maintain communication with surgical coordinators
- Manage faxes, emails, and phone calls related to authorizations and respond to inquiries
- Assist management with daily work assignments, staff training, and quality audits
- Submit appeals for denied prior authorizations and follow through until final approval is obtained
What is Required (Qualifications):
- High school diploma or GED certificate
- Minimum of 2 years' experience in a physician's billing or third-party payer environment
- Demonstrated ability to navigate managed care eligibility and insurance billing requirements
- Strong customer service orientation with effective communication skills
- Proficiency in Microsoft Office and understanding of medical terminology
How to Stand Out (Preferred Qualifications):
- Certified Professional Coder (CPC) certification
- Experience with Epic or other electronic billing systems
- Knowledge of medical terminology, diagnosis, and procedure coding
- Previous experience in an academic healthcare setting
#HealthcareServices #AuthorizationSpecialist #RemoteWork #CareerOpportunity #CompetitivePay #CustomerService
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