• Job Description

  Req#: 4198169
  Job Type
  
  Full-time
  
  Description
  
  Position Overview:
  
  The Authorization Specialist supports the Clinical, Imaging, and Physical Therapy departments. Daily tasks will include verification of a patient's insurance information, obtaining authorizations for, but not limited to, procedures, surgeries, injections, imaging, office visits, and pre-collection for upcoming services to be rendered. This role will also actively interact with the medical staff and patients.
  
  ESSENTIAL FUNCTIONS:
  
  • Authorize scheduled procedures to include surgeries, injections, medications, imaging and other items needing authorization with insurance.
  • Verify eligibility and benefits for all patients and procedure codes, pre-collect payment for surgeries and other procedures as required by the department
  • Ensure compliance with benefits, authorizations, and/or funding requirements and limitations.
  • Confirm that all information documented in the Practice Management System is accurate.
  • Document work processes as required.
  • Educate staff members on authorization obligations and accountability to internal processes in a timely manner.
  • Manage authorization queue by auditing daily changes and having clear documentation.
  • Setup Patient tracking via tasking within the patient Electronic Medical Records System.
  • Innovation of processes to facilitate the most efficient workflow.
  • Document in Electronic Health Records System prior authorizations information obtained.
  • Treatment authorized, date range approved for, authorization numbers and insurance company contact information.
  • Must be able to recognize and respond appropriately to urgent situations.
  • Follow all written protocols and procedures of the clinic including the OCC handbook, all department policy and procedures.
  • Provide timely, high quality patient service and submission of authorizations, from all areas of responsibility by being courteous and helpful to all.
  • Perform other duties assigned by OCC leadership.
  
  
  Requirements
  
  REQUIRED QUALIFICATIONS AND SKILLS:
  
  • Medical terminology, ICD-10 and CPT coding knowledge
  • Knowledge of contracted insurance plans and procedures
  • Solid computer and phone skills
  • Strong organizational and interpersonal skills
  • Ability to prioritize responsibilities and multi-task efficiently and effectively
  • Adaptability to different plan and lien requirements
  
  
  PAY & BENEFITS:
  
  • Medical, Dental and Vision Insurance
  • Generous PTO package and paid holidays
  • Company-paid life insurance and long term disability insurance
  • Ability to purchase accident insurance, short and long-term disability insurance.
  • Opportunities for internal training and development
  • Retirement Plan eligibility after one month of service with eligibility in company profit sharing
  • Most positions offer Monday - Friday work schedules
  
  
  WORKING CONDITIONS:
  
  • Typical business office environment
  • Possibility of local travel
  • Constant viewing of computer monitor, mousing and typing
  • Frequent standing, walking, sitting, lifting, bending, handling up to 10 pounds
  • Specific vision abilities required by this job include close vision, color vision, peripheral vision, and ability to adjust focus
  • Hours of business are Monday - Friday from 8:00 a.m. to 5:00 p.m. Must be able to work early, late and long hours, as needed, to meet the essential functions of the job
  
  
  Salary Description
  
  $20-$23

• About the company

  The best remote jobs for you

Notice