Authorization Specialist
4 weeks ago
Job Summary:
The Authorization Specialist at Upstate University Hospital works closely with healthcare providers, patients, and insurance carriers to ensure accurate information for maximum reimbursements. This role requires strong knowledge of medical coding, including ICD, CPT, and J codes, to effectively communicate with insurance carriers.
Key Responsibilities:
- Collaborate with providers, patients, and insurance carriers to obtain authorizations for maximum reimbursements.
- Ensure accurate coding and documentation to meet regulatory requirements.
- Develop and maintain strong relationships with insurance carriers and other stakeholders.
Requirements:
- Associates Degree and three years of relevant patient financial/insurance services experience.
- Working knowledge of medical terminology and coding systems.
- Excellent problem-solving skills and communication abilities.
Preferred Qualifications:
- Prior experience working with ambulatory patient care administrative functions.
- Knowledge of medical billing requirements and insurance fraud/abuse detection.
- Experience with medication reimbursement and insurance claim submission.
Work Environment:
This role is a Monday-Friday, 8:00a-4:30p position at Upstate University Hospital.
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