Authorization Specialist

2 weeks ago

San Antonio TX United States TSAOG Orthopaedics and Spine Full time
Get to know us:

TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not going anywhere. We take a big part in Community outreach with our Light Charity program. If you are looking for a team that enjoys Laughing, is Family orientated, and has the work hard play hard mentality, then this company is for you. We value Respect, Communication, Accountability, Dependability and Compassion. A place where you can rely on great Teamwork and Integrity. We are a place that is true to its values. If this is what you are looking for then look no further.

Summary of position:

We are looking for a sharp, ambitious, and enthusiastic Authorization Specialist to join our team. The successful candidate is someone that is passionate about working in a care team model with a personal responsibility of providing care for our orthopaedics patients and clinical support to the team. The right candidate will be able to provide an exceptional patient care experience that promotes healing and recovery, and having an attention to detail mindset while being caring and compassionate.

If you're a people person looking to join an amazing company in the world of Orthopaedics, this is the place for you

Current positions available for Authorization Specialist: Surgery Authorization Specialist and Imaging Authorization Specialist

What Youll Do:

Request precertification for surgical procedures via insurance portals and/or contacting insurance company to verify requirements.
Provide relevant clinical information to insurance company precertification department to obtain authorization for procedures.
Obtains authorizations from primary care physicians as insurance dictates.
Verify eligibility of patients insurance plan
Ensures patients have been cleared for specialty service office visits if insurance requires.
Resolves pre-certification, registration, and case-related concerns prior to a patient's procedure.
Respond to phone calls/messaging from internal doctor teams, check in/check out staff, or primary care physician offices and respond accordingly.
Relays pertinent messages from hospitals and directs team to reschedule surgical procedures at facility where benefits are accepted.
Effectively review orders to ensure that surgical procedures have been through pre-authorization process and review statuses.
Obtain appropriate next steps for adverse determinations and provide information to doctor teams.
Maintain knowledge and education to be effective and productive on prior authorization requirements.
Data enters pre-authorization deductibles, co-insurance, out-of-pocket and related information into patient demographic record.
May be required to assist other areas in referrals/authorizations when staffing is needed.
May explain benefits information to patients who arrive to visit and may not understand their portion of the bill (co-pay, deductibles, etc.).
Participate in monthly and quarterly meetings within respective department and team to discuss policies, protocols, and best-practices.

Additional duties for Imaging Authorization Specialist:

Contact patients to resolve issues and/or update them on prior authorization status.
Review messages from check in/check out staff for any add-ons to verify benefits and pre-authorization requirements.
Assist with scheduling imaging appointments as needed.
Screen patient calls efficiently ensuring accurate registration and appointment scheduling into database.
Respond to patients questions and needs by editing, canceling, and re-scheduling appointments as necessary according to Company protocols.

What Youll Need:

Must have a High School Diploma or equivalent.
Knowledge of health insurance concepts (i.e., HMO, PPO, etc.). Experience in a healthcare environment a plus. Knowledge of referrals and authorizations process.
Proficient computer skills. Exceptional customer service skills. Proficient and accurate data entry skills. Proficient with Microsoft programs (Excel, Word, etc.)
Ability to multi-task, prioritize work and make sound judgements. Ability to remain patient during long periods of telephonic hold times..
Prolonged sitting. Repetitive motion (data entry), and phone contact.
Other duties as assigned as necessary and may vary at times, as needed, by your immediate supervisor or as directed by the company.

#BackOffice4

  • Authorization Specialist

    2 weeks ago

    San Antonio, Texas, United States A-Line Staffing Solutions Full time

    A-Line Staffing Solutions is currently seeking an Authorization Specialist. This position offers full-time hours, typically exceeding 40 hours per week.Compensation for the Authorization SpecialistThe hourly wage for this role is $17.Full-time employees are eligible for benefits after a specified period of employment.A 401(k) plan with company matching...

  • Authorization Specialist

    2 weeks ago

    San Antonio, United States TSAOG Orthopaedics and Spine Full time

    Get to know us: TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not going anywhere. We take a big part in Community outreach with our Light Charity program. If you are looking for a team that enjoys Laughing, is Family orientated, and has the work hard play hard mentality, then this company is...

  • Authorization Specialist

    4 weeks ago

    San Antonio, United States TSAOG Orthopaedics & Spine Full time

    Job DetailsLevel Experienced Job Location Annex - San Antonio, TX Position Type Full Time Education Level High School Salary Range $16.00 Hourly Travel Percentage None Job Shift Day Job Category Health Care DescriptionGet to know us: TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not going...

  • Authorization Specialist

    7 days ago

    San Antonio, United States Deans Professional Services Full time

    Job DescriptionJob DescriptionDean’s Professional Services is now hiring a qualified, patient-care-focusedAuthorization Specialistto work in a HealthcareFacility inthe Texas area. – Remote-Must Reside in TexasWe are on a mission to create care that’s more convenient and professional. With solutions that are value-based and patient-centered. To...

  • Authorization Specialist

    4 days ago

    San Antonio, Texas, United States TSAOG Orthopaedics & Spine Full time

    About UsTSAOG Orthopaedics & Spine is a leading multi-specialty physician group dedicated to providing exceptional patient care and community outreach. Our team values Respect, Communication, Accountability, Dependability, and Compassion, creating a work environment that is true to its values.Job SummaryWe are seeking a sharp, ambitious, and enthusiastic...

  • Authorization Specialist I

    4 weeks ago

    San Antonio, United States Deans Professional Services Full time

    Job DescriptionJob DescriptionDean’s Professional Services is now hiring a qualified, patient-care-focusedAuthorization SpecialistIIto work in a HealthcareFacility inthe Texas area. – Remote-Must Reside in TexasWe are on a mission to create care that’s more convenient and professional. With solutions that are value-based and patient-centered. To...

  • Authorization Specialist II

    3 weeks ago

    San Antonio, United States Deans Professional Services Full time $17 - $19

    Job DescriptionJob DescriptionDean’s Professional Services is now hiring a qualified, patient-care-focusedAuthorization SpecialistIIto work in a HealthcareFacility inthe Texas area. – Remote-Must Reside in TexasWe are on a mission to create care that’s more convenient and professional. With solutions that are value-based and patient-centered. To...

  • Medical Authorization Specialist

    4 days ago

    San Antonio, Texas, United States Snelling Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Authorization Specialist to join our team at Snelling San Antonio. As a key member of our workforce solutions team, you will be responsible for managing the authorization and pre-approval processes for various medical services and treatments.Key Responsibilities:Process authorizations...

  • Authorization Specialist

    2 weeks ago

    Largo, FL, United States Advanced Urology Institute LLC Full time

    Description:Authorization SpecialistThe Authorization Specialist serves in a clerical role and is responsible for verifying patient-eligibility, coordinating benefits, and facilitating insurance coverage, as well as addressing patients' concerns regarding authorization and turnaround.DUTIES:Obtain authorizations for surgical/radiological procedures per...

  • Authorization Specialist

    3 months ago

    Tacoma, WA, United States Olympic Sports & Spine Full time

    Medical Insurance Authorization SpecialistOlympic Sports & Spine (OSS) is looking for a full-time, experienced medical insurance benefits Authorization Specialist for our growing, fast-paced medical billing office.Olympic Sports & Spine (OSS) is known for its fun and energetic work environment and for valuing its employees. We offer a comprehensive benefits...

  • Radiology Authorization Specialist

    2 weeks ago

    Denver, CO, United States Together Women's Health, LLC Full time

    Overview:The Women's Imaging Center, a proud partner of Together Women's Health, is expanding its medical team and seeking a dynamic full-time MRI Authorization Specialist. Located in the heart of Cherry Creek/Denver, our state-of-the-art facility at 3773 Cherry Creek North Dr, Suite 101, Denver, CO 80209 is dedicated to providing exceptional care to our...

  • Radiology Authorization Specialist

    2 weeks ago

    Denver, CO, United States Together Women's Health, LLC Full time

    Overview:The Women's Imaging Center, a proud partner of Together Women's Health, is expanding its medical team and seeking a dynamic full-time MRI Authorization Specialist. Located in the heart of Cherry Creek/Denver, our state-of-the-art facility at 3773 Cherry Creek North Dr, Suite 101, Denver, CO 80209 is dedicated to providing exceptional care to our...

  • Authorization Coordinator I

    2 weeks ago

    San Antonio, Texas, United States Deans Professional Services Full time

    Job OverviewDean's Professional Services is seeking a dedicated and detail-oriented Authorization Specialist I to join our team in the Healthcare Sector. This position is designed for individuals who are passionate about patient care and are looking to make a significant impact in the field.Our mission is to enhance the convenience and professionalism of...

  • Insurance Authorization Coordinator

    2 weeks ago

    San Antonio, Texas, United States Christus Health Full time

    Position Overview:The role of the Referral Coordination Specialist involves overseeing the complete referral workflow. This includes acquiring orders from healthcare providers, securing insurance approvals, scheduling patient appointments with participating physicians, and informing patients about their appointments. Additionally, the specialist will handle...

  • Medical Authorization Representative

    1 week ago

    Garden City, NY, United States Orlin & Cohen Medical Specialist Group Full time

    Orlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO.We are...

  • Insurance Authorization Specialist

    7 days ago

    San Angelo, Texas, United States Shannon Health Full time

    Job SummaryAt Shannon Health, we are seeking a highly skilled and detail-oriented Insurance Authorization/Patient Registration Specialist to join our team. Under general supervision, this individual will perform a variety of clerical and administrative tasks of moderate difficulty, including registering and pre-registering patients, scheduling ancillary...

  • Patient Care Authorization Specialist

    2 weeks ago

    San Francisco, California, United States University of California , San Francisco Full time

    Overview:At the University of California, San Francisco, we are dedicated to improving the health and well-being of individuals through our commitment to patient care, research, and education.Mission:Our success hinges on fostering a culture of collaboration, excellence, leadership, and respect. We seek individuals who embody the values of professionalism,...

  • Educational Specialist

    2 days ago

    San Jose, California, United States Oak Grove School District Full time

    About the Oak Grove School DistrictOak Grove School District is a public educational institution serving approximately 8,800 students from grades TK-8. Our 18 school campuses, including a TK-8 Virtual Learning Academy (VLA), provide a diverse learning environment. Six of our schools receive Title I funds, catering to students with varying needs.Our FocusOur...

  • Centralized Medication

    1 week ago

    Uniontown, OH, United States Pioneer Physicians Network Full time

    Job Title: Centralized Medication Prior Authorization (PA) Specialist Must have experience doing prior authorizations Certified Medical Assistant or Pharmacy Technician experience preferred Supervisor: Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...

  • Centralized Medication

    2 weeks ago

    Uniontown, OH, United States Pioneer Physicians Network Full time

    *Job Title: Centralized Medication Prior Authorization (PA) Specialist**Must have experience doing prior authorizations**Certified Medical Assistant or Pharmacy Technician experience preferred**Supervisor:*Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...