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Authorization Specialist

3 months ago

Schaumburg, United States Suburban Orthopaedics Full time

**Authorization Specialist**

Suburban Orthopaedics/SBO-MSO is currently seeking a detail-oriented and motivated Authorization Specialist to join our team. As an Authorization Specialist, you will play a crucial role in ensuring the efficient processing of medical authorizations and maintaining compliance with regulatory requirements.

**Job Summary**:
As an Authorization Specialist, you will be responsible for verifying insurance coverage, obtaining pre-authorizations for medical procedures, and coordinating with healthcare providers to ensure timely approval for patient treatments. You will work closely with insurance companies, medical staff, and patients to facilitate the authorization process effectively.

**Responsibilities**:

- Verify insurance coverage and eligibility for patients
- Obtain pre-authorizations for medical procedures and treatments
- Communicate with healthcare providers to gather necessary documentation for authorization requests
- Ensure compliance with insurance regulations and company policies
- Maintain accurate records of authorization requests and approvals
- Assist patients in understanding their insurance coverage and authorization status
- Collaborate with billing department to resolve any authorization-related issues

**Skills**:

- Proficiency in medical terminology and coding
- Knowledge of ICD-9, ICD-10 coding systems
- Experience working in a medical office or healthcare setting
- Familiarity with medical records management
- Strong understanding of managed care principles
- Excellent communication and interpersonal skills
- Detail-oriented with strong organizational abilities

*Benefits:*
- Competitive salary based on experience
- Opportunities for professional development and growth
- Supportive work environment with a collaborative team
- Health insurance benefits package

*Requirements:*
- Previous experience as an Authorization Specialist or similar role preferred
- Certification in medical coding is a plus
- Ability to work efficiently in a fast-paced environment
- Strong problem-solving skills and attention to detail

Pay: $18.00 - $21.00 per hour

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee discount
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance

Weekly day range:

- Monday to Friday
- No weekends

**Experience**:

- Insurance verification: 1 year (preferred)
- Medical billing: 1 year (preferred)

Ability to Commute:

- Schaumburg, IL 60173 (preferred)

Ability to Relocate:

- Schaumburg, IL 60173: Relocate before starting work (preferred)

Work Location: In person