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Authorization Specialist
4 months ago
Company Intro:
At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nations largest and most comprehensive eye care practices and currently operate more than 120 eye care centers in Arizona, New Mexico, Nevada, California and Texas including 25 ambulatory surgical centers.
At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees
As an Authorization Specialist, you'll verify insurance coverage, benefits, and obtain prior authorization for services.
Responsibilities:- Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorization for services
- Processes requests for prior authorization from clinics and Patient Care Coordinators
- Documents findings thoroughly and accurately
- Makes changes to demographic information as necessary in order to produce a clean patient statement
- Meets or exceeds productivity standards in the completion of daily assignments and accurate production
- Maintains an error rate in accordance with departmental policy
- Performs training with organizational staff on procedures for requesting, documenting and processing prior authorizations
- Performs additional duties as assigned
- Provide front desk support as needed
- High School Diploma or GED
- 2+ years of experience in medical billing environment
- Ophthalmology background is a plus
- Active knowledge of CMS guidelines contracted insurance guidelines and coding policies
- Demonstrated computer and math skills
- Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
- Excellent verbal and written communication skills
- Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism
Benefits & Perks:
Your health, happiness and your future matters At the Wellish Group, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, paid holidays plus PTO, Sick Time, opportunity for growth, and much more
