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Charlotte, NC, United States Atrium Health Full timeOverview Primary Purpose The Advanced Authorization Specialist is responsible for all aspects involved in obtaining highly complex authorizations for a multitude of In-patient and Out-patient Services. The Advanced Authorization Specialist must be knowledgeable and have a thorough understanding of Commercial and Government payors with regards to...
Insurance Authorization Specialist
2 months ago
Our organization is committed to delivering high-quality gastroenterology services and fostering advanced research for digestive health problems.
Essential Duties:
* Obtain prior authorizations for medical procedures, treatments, and services by contacting insurance companies.
* Accurately enter and update authorization information in the electronic medical record system.
* Inform patients of authorization status, coverage details, and potential out of pocket expenses.
* Work closely with physicians and other healthcare providers to gather necessary documentation.
* Collaborate with the Central Billing Office to ensure accurate claims submission.
* Assist with billing data preparation and medical claim submission.
* Address and resolve issues related to insurance authorizations.
* Maintain knowledge of insurance policies and regulatory requirements.
* Ensure HIPAA compliance and patient confidentiality.
Qualifications:
* High School Diploma or equivalent.
* Minimum 2 years' experience in medical billing, insurance verification, or authorization processes.
* Knowledge of healthcare insurance plans, medical terminology, and HIPAA regulations.
* Proficiency in EMR software and basic computer applications.
* Strong organizational skills and attention to detail.
Benefits:
* Competitive salary.
* Comprehensive benefits package, including health insurance and paid time off.
* Positive and collaborative work environment.
