Legal Authorization Specialist

1 month ago

Jacksonville, United States Axiom Staffing Group Full time
Summary:

A legal benefit plan company based in Jacksonville, FL is looking to fill a full-time Legal Authorization Specialist role. This position supports the Provider Relations department in meeting the department goals for authorizations, credentialing, project support, customer service, and collaborating with department personnel, attorneys and clients as needed.

Responsibilities:

Answering attorney calls/e-mails and provide superior service and education about the organization’s fee schedule, products, policies and procedures
Prioritize and compile information necessary to complete attorney requests
Verify member benefits/coverages
Inform attorney of the specific fee schedule reimbursement and monitor for accuracy
Work with members and departments to promote an understanding of the authorization process
Coordinate resolution of escalated attorney and member issues
Meet or exceed turnaround time while maintaining workload
Daily management of Authorization dashboard
Adhere to policies and procedures to comply with department’s performance and compliance standards, and ensure cost-effective delivery of services • Identify and recommend process improvement opportunities within the department
Perform other duties and/or projects as assigned by department manager

Requirements:

Prefer 2+ years of legal and/or law firm experience
Attention to detail and demonstrated effective negotiation skills
Ability to review and interpret legal claim documents
Ability to assist Provider Relations’ leadership team and department staff
Demonstrate a high level of proficiency in Microsoft Office Products – Outlook, Excel, Word

IND701

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