Authorization Specialist
2 weeks ago
Authorization Specialist
The 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 company policy and document as appropriate.
Calculate patient amount due for professional fee and contact patient via telephone
Review schedules prior to date of service
Review and update billing, demographic, diagnosis, or procedure information in system, as needed.
Answers patient account questions as required.
Maintains outstanding communications skills and interpersonal skills with physicians, patients and co-workers.
Utilizes EMR chart for patient record information.
Familiar with transaction codes, patient types, and other system identifiers.
Communicates to management unresolved issues with the operational status of the billing system.
Cross trained as back up for Billing/Eligibility.
Participates in educational activities.
Maintains patient confidentiality and protects the operations of the billing section. Has access to patient information used within AUI that relates to their job description which is minimally necessary to accomplish the intended purpose of the use of disclosure.
Act as team player: collaborate, communicate clearly and cooperate with AUI employees with focus on mission and goals of AUI.
Enhances communications by consistently displaying excellent customer service skills in behavior and attitude.
Participates actively in AUI’s Performance Improvement Program.
Must be willing to travel to another location for training.
Requirements:
EDUCATION/CERTIFICATIONS:
High school graduate or equivalent.
1+ years of billing/authorization/referrals experience
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