Authorization Specialist

6 days ago


San Antonio, Texas, United States SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO Full time
Authorization Specialist Job Description

Sports Medicine Associates of San Antonio is seeking a highly skilled Authorization Specialist to join our Business Office team. As an Authorization Specialist, you will play a critical role in ensuring seamless patient care by managing authorization requests, interpreting insurance benefits, and communicating with patients and payers.

Key Responsibilities:
  • Authorization Management: Prioritize and process incoming authorization requests, ensuring timely and accurate communication with patients and payers.
  • Insurance Benefits Interpretation: Analyze and interpret insurance benefits to determine patient responsibility and ensure compliance with medical policy guidelines.
  • Chart Review: Review patient charts to ensure accurate and complete documentation, including CPT and ICD-10 diagnoses.
  • Communication: Respond to clinic questions regarding payer medical policy guidelines and communicate with patients regarding authorization status.
Requirements:
  • Experience: 2 years of medical prior authorization and verification experience required.
  • Knowledge: Commercial and governmental insurance plans, payer portals, and NextGen EHR software.
  • Skills: Excellent telephone etiquette, customer service skills, and ability to multitask and prioritize tasks.
What We Offer:
  • Competitive Salary: A competitive salary and benefits package, including medical, dental, vision, and 401(k) matching.
  • Opportunities for Growth: Opportunities for professional growth and development in a dynamic and supportive team environment.

Sports Medicine Associates of San Antonio is an equal opportunity employer and welcomes applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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