Authorization Specialist

2 weeks ago

Akron, United States Crystal Clinic Orthopaedic Center Full time

Schedule: Monday-Friday; Various Days

Status: Part-Time 24 hours per week


Position Summary

The Authorization Specialist obtains authorization and precertification from insurance companies for tests and surgeries. Performs insurance billing clerical work including review and verification of insurance accounts against program provisions for billing in a clinic/physician office setting.

Essential Job Functions/Accountabilities

Obtains and compiles documentation to submit to insurance companies, initiating the authorization process. Utilizes phone or website to initiate and obtain authorization for procedure(s) or surgeries.


Maintains appropriate logs or reports. Monitors and tracks the authorizations, notifies the physician’s secretary of any issues, approvals, and/or denials.


Coordinates with patients, clinic staff, and insurance companies to obtain authorization. Prioritizes authorization requests according to urgency.


Coordinates and/or communicates the need for appeals based on denied authorizations.


Provides adequate documentation in patients’ charts of authorization, approval, and/or denial, including, but not limited to, authorization numbers, insurance representative’s name, and dates of approval.


All other duties not specifically assigned.


Positions Requirements

Education: High school diploma or GED required.


Experience: Three (3) to Five (5) years of demonstrated experience in field or profession preferred. Medical office experience preferred.


Technical Skills: Excellent customer service and organizational skills. Professionalism. Attention to detail. Excellent computer skills including Excel, Word, Internet use, and ability to work within multiple EMRs.


Certifications/Licenses/Registrations: N/A


Company Summary

At Crystal Clinic Orthopaedic Center, we embrace a people-first culture where we put patients at the center of everything we do, as we empower our healthcare professionals in the delivery of compassionate, nationally-renowned care.


Are you a new graduate looking to begin your career or an experienced professional looking for an invigorating environment? Consider joining our 5-star team at the Crystal Clinic Orthopedic Center. Our healthcare professionals are dedicated to the specialized care of orthopedic and plastic / reconstructive conditions. More than 50 board-certified orthopedic and plastic / reconstructive physicians provide care at two surgical locations and 18 outpatient clinics in Northeast Ohio. We provide onsite physical and occupational therapy and have high-level imaging services, such as MRI, extremity MRI and bone density scans.


Benefits

Employees may elect to participate in a variety benefit programs. Eligibility to participate will require the fulfillment of applicable waiting periods and satisfaction of eligibility requirements.

  • Medical
  • Dental
  • Vision
  • Life Insurance (100% Employer paid)
  • Short & Long Term Disability (100% Employer paid)
  • Flexible Spending Account
  • Health Savings Account
  • 401(k)
  • PTO
  • Tuition Reimbursement Program
  • Wellness Program
  • Employee Assistance Program

  • Authorization Specialist

    2 weeks ago

    Akron, United States Crystal Clinic Full time

    Schedule: Monday-Friday; Various Days Status: Part-Time 24 hours per week Position Summary The Authorization Specialist obtains authorization and precertification from insurance companies for tests and surgeries. Performs insurance billing clerical work including review and verification of insurance accounts against program provisions for billing in a...

  • Authorization Specialist

    1 week ago

    Akron, United States Crystal Clinic Full time

    Schedule: Monday-Friday; Various DaysStatus: Part-Time 24 hours per weekPosition SummaryThe Authorization Specialist obtains authorization and precertification from insurance companies for tests and surgeries. Performs insurance billing clerical work including review and verification of insurance accounts against program provisions for billing in a...

  • Authorization Specialist

    1 week ago

    Akron, United States Crystal Clinic Orthopaedic Center Full time

    Schedule: Monday-Friday; Various DaysStatus: Part-Time 24 hours per weekPosition SummaryThe Authorization Specialist obtains authorization and precertification from insurance companies for tests and surgeries. Performs insurance billing clerical work including review and verification of insurance accounts against program provisions for billing in a...

  • Front Desk/ Verification Specialist

    1 month ago

    Akron, United States McMillen Chiropractic Full time

    Job DescriptionJob DescriptionThe Chiropractic Front Desk/ Verification Specialist will be responsible for greeting patients, helping patients understand their insurance coverage for chiropractic services. The specialist will work closely with patients, healthcare providers, and billing company to ensure that claims are approved and payments are received...

  • Front Desk/ Verification Specialist

    4 weeks ago

    Akron, United States McMillen Chiropractic Full time

    Job DescriptionJob DescriptionThe Chiropractic Front Desk/ Verification Specialist will be responsible for greeting patients, helping patients understand their insurance coverage for chiropractic services. The specialist will work closely with patients, healthcare providers, and billing company to ensure that claims are approved and payments are received...

  • Front Desk/ Verification Specialist

    2 weeks ago

    Akron, United States McMillen Chiropractic Full time

    Job DescriptionJob DescriptionThe Chiropractic Front Desk/ Verification Specialist will be responsible for greeting patients, helping patients understand their insurance coverage for chiropractic services. The specialist will work closely with patients, healthcare providers, and billing company to ensure that claims are approved and payments are received in...

  • Payroll Specialist

    4 weeks ago

    Akron, United States GOJO Industries Full time

    Information about #31454 Payroll Specialist Work Location: This role can work remotely within the continental United States provided that eastern standard time core business hours are maintained Formulated to Care For more than 75 years, GOJO, Makers of PURELL has been powered by people who are energized by helping the world experience greater health and...

  • Payroll Specialist

    4 weeks ago

    Akron, United States GOJO Industries Full time

    Information about #31454 Payroll Specialist Work Location: This role can work remotely within the continental United States provided that eastern standard time core business hours are maintained Formulated to Care For more than 75 years, GOJO, Makers of PURELL has been powered by people who are energized by helping the world experience greater health and...

  • Payroll Specialist

    4 weeks ago

    Akron, Ohio, United States GOJO Industries Full time

    Information about #31454 Payroll SpecialistWork Location: This role can work remotely within the continental United States provided that eastern standard time core business hours are maintainedFormulated to CareFor more than 75 years, GOJO, Makers of PURELL has been powered by people who are energized by helping the world experience greater health and...

  • Field Risk Specialist

    1 month ago

    Akron, United States Datascan Technologies, LLC Full time

    Job DescriptionJob DescriptionOffering $10K Sign On Bonus Position: Field Risk Specialist - This is a Field Based Position so you will not be assigned to a local office, candidates must be located in the Akron, Ohio area. About DataScan Headquartered in Alpharetta, Georgia, DataScan stands at the forefront of delivering cutting-edge wholesale asset...

  • Field Risk Specialist

    4 weeks ago

    Akron, United States Datascan Technologies, LLC Full time

    Job DescriptionJob DescriptionOffering $10K Sign On Bonus Position: Field Risk Specialist - This is a Field Based Position so you will not be assigned to a local office, candidates must be located in the Akron, Ohio area. About DataScan Headquartered in Alpharetta, Georgia, DataScan stands at the forefront of delivering cutting-edge wholesale asset...

  • Insurance Sales Specialist

    3 weeks ago

    Akron, United States Huntington National Bank Full time

    Description Summary: The Insurance Sales Specialist position requires basic technical and personal insurance product knowledge in the daily responsibilities of performing inbound and outbound phones sales using multiple insurance carriers. This individual will be working each day with our internal segment partners to do what’s right for our...

  • Field Inventory Specialist

    4 weeks ago

    Akron, United States Douglas Guardian Full time

    Job DescriptionJob DescriptionSalary: Minimum $22.50 plus mileageDo you enjoy traveling to new locations and working with exciting new people every day?  How about the flexibility to set your own schedule? Then this may be the opportunity for you.  Douglas-Guardian conducts verifications of financed assets for manufacturers, banks, and finance companies...

  • Referral Specialist

    2 weeks ago

    Akron, United States 194660 Axess Family Services Full time

    Job DescriptionJob DescriptionDescription:SUMMARY: Coordinates the AxessPointe Community Health Center, Inc. (API) patient referral process for specialty care as determined by the clinic’s medical providers, maintaining an established system of patient tracking and reporting.SUPERVISOR: Health Center AdministratorDUTIES AND RESPONSIBILITIES:Coordinates all...

  • Intervention Specialist

    1 month ago

    Akron, United States ACCEL Schools Full time

    Job DescriptionJob DescriptionAbout the TeamACCEL Schools is seeking highly-qualified Intervention Specialist at Akron Preparatory Academy in Akron, Ohio, dedicated to providing a superior education for all students for the upcoming 2024-2025 school year. We are seeking teachers who are excited to create a rigorous and nurturing classroom environment that...

  • Intervention Specialist

    4 weeks ago

    Akron, United States ACCEL Schools Full time

    Job DescriptionJob DescriptionAbout the TeamACCEL Schools is seeking highly-qualified Intervention Specialist at Akron Preparatory Academy in Akron, Ohio, dedicated to providing a superior education for all students for the upcoming 2024-2025 school year. We are seeking teachers who are excited to create a rigorous and nurturing classroom environment that...

  • Intervention Specialist

    3 days ago

    Akron, United States ACCEL Schools Full time

    Job DescriptionJob DescriptionAbout the TeamACCEL Schools is seeking highly-qualified Intervention Specialist at Akron Preparatory School in Akron, Ohio, dedicated to providing a superior education for all students for the upcoming 2024-2025 school year. We are seeking teachers who are excited to create a rigorous and nurturing classroom environment that...

  • Sr. Accounts Receivable Specialist

    1 month ago

    Akron, United States Famous Supply Full time

    The Accounts Receivable Specialist is responsible for managing the balance due from customers on purchased product, while providing high quality customer service to internal and external customers with a strong sense of urgency.Primary Job Responsibilities Processing of Accounts Receivable Appropriate handling of Customer calls regarding billing errors or...

  • Sr. Accounts Receivable Specialist

    4 weeks ago

    Akron, United States Famous Supply Full time

    The Accounts Receivable Specialist is responsible for managing the balance due from customers on purchased product, while providing high quality customer service to internal and external customers with a strong sense of urgency.Primary Job Responsibilities Processing of Accounts Receivable Appropriate handling of Customer calls regarding billing errors or...

  • IT Governance

    3 weeks ago

    Akron, United States FirstEnergy Full time

    About the Opportunity This is an open position with FirstEnergy Service Co., a subsidiary of FirstEnergy Corp. [SC00] Compliance is a group within IT Transmission Systems & Compliance with the responsibility for the development, ongoing sustainability, and program consistency for NERC Critical Infrastructure Protection (CIP), Sarbanes Oxley -...