Authorization Specialist

22 hours ago


Kissimmee, Florida, United States Cardiovascular Associates, Inc. Full time
Job Summary

We are seeking a detail-oriented and highly organized Authorization Specialist to join our team at Cardiovascular Associates, Inc. The successful candidate will be responsible for obtaining authorization from insurance companies and other third-party payers to ensure timely reimbursement for medical services provided.

Key Responsibilities
  • Verify Insurance Coverage: Review patient insurance details and benefits to determine coverage for specific medical services.
  • Obtain Authorizations/Referral: Initiate the authorization process with insurance companies by submitting all required documentation and information.
  • Documentation and Records: Maintain accurate and updated records of all authorization requests and communications.
  • Collaborate with Providers: Collaborate closely with healthcare providers to gather necessary medical documentation and ensure appropriate codes and information are included in authorization requests.
  • Adhere to Compliance Policies: Ensure compliance with all applicable laws, regulations, and internal policies related to obtaining authorizations.
  • Insurance Appeals: Assist in the insurance appeals process for denied authorizations.
Requirements
  • High school diploma or equivalent required; associate or bachelor's degree in healthcare administration or related field preferred.
  • Minimum of 2 years of experience in medical billing, insurance authorization, or related field.
  • Strong understanding of medical terminology, insurance plans, and authorization processes.
  • Excellent written and verbal communication skills.
  • Proficient in using computer systems for data entry, record-keeping, and communication.
Benefits
  • Dental insurance
  • Health insurance
  • Life insurance
  • 401(K) Retirement
  • Paid time off
  • Vision insurance


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