• Job Description

  Req#: 556131

  Urology office is looking for a qualified and experienced Authorization Specialist in our fast-paced out-patient urology clinic. This position could be filled in either Gilbert or Phoenix.

  Schedule: Full-time, Monday through Friday day shift position.

  Essential Duties and Responsibilities:

  • Enter patient demographic including insurance into the computer system.
  • Works patient accounts out 3-5 days.
  • Determine authorization status by confirming in computer and chart previous notation regarding expiration date(s) and confirming drug(s) for treatment including injections.
  • Provide the Benefits Coordinator with any new information on insurance coverage and/or new drugs added to protocols.
  • Confirm the correct insurance from review of computer and chart.
  • Obtain authorization for patient visits and treatment in the office prior to DOS.
  • Record in chart and in computer the number of visits, detailed description of the authorization, the expiration date, and name of the insurance carrier.
  • Recheck authorization(s) every 6 months if no activity has occurred with treatment. Run reports of authorizations that are terming prior to treatments.
  • Complete working knowledge of all insurance company requirements as they relate to authorization.

  Knowledge and Skills:

  • Knowledge of insurance company’s procedures and policies.
  • Knowledge of governmental, legal and regulatory provisions related to HIPAA.
  • Knowledge of chemotherapy related drugs and supplies utilized.
  • Knowledge of diagnostic testing and radiation procedures.
  • Knowledge of CPT, ICD-9, HCPCS coding.
  • Knowledge of basic mathematics.

  Education and Experience:

  • Minimum of 2 years authorizations experience.

  We offer a competitive salary and a comprehensive benefit package including health/dental/vision and life insurance, 401K, and a caring work environment. We are an E.O.E.

• About the company

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