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Authorization Specialist

2 months ago

Salt Lake, Utah, United States Myriad Genetics Full time
About the Role

We are seeking a highly skilled Authorization Specialist to join our Preauthorization team at Myriad Genetics. As an Authorization Specialist, you will play a critical role in supporting our Preauthorization department by verifying patient insurance coverage, requesting missing documents, and handling discrepancies.

Key Responsibilities
  • Insurance Verification: Verify patient insurance coverage in a timely manner using phone or online resources.
  • Document Requesting: Request missing documents or information from clinicians via phone or fax.
  • Discrepancy Resolution: Handle discrepancies with eligibility or demographic errors by interacting with clinicians and patients.
  • Process Improvement: Collaborate with Supervisor and management to provide process improvement suggestions.
  • Education and Meetings: Participate in educational activities and attend regular staff and department meetings.
  • Turnaround Time: Exhibit and manage excellent turn-around time to ensure timely authorizations.
  • Flexibility: Demonstrate flexibility to perform duties wherever volume deems it necessary.
  • Documentation: Document activities appropriately in process notes.
  • Quality Assurance: Participate in the Quality Assurance plan.
  • Regulatory Compliance: Comply with applicable CLIA and HIPAA regulations.
Requirements
  • Experience: 3-5 years of experience working in medical billing, health insurance, or collections with demonstrated results.
  • Insurance Billing: Insurance billing experience preferred.
  • Problem-Solving: Good problem-solving and decision-making skills.
  • Customer Service: Excellent customer service and phone skills.
  • Time Management: Excellent time management, organizational, communication, multitasking, and teamwork skills.
  • Coding Knowledge: Working knowledge of ICD-10, CPT, and HCPCS coding (preferred but not required).
  • System Navigation: Ability to successfully navigate between multiple systems throughout the workday, including billing software, written Standard Operating Procedures, and payer portals.