Authorization Specialist
2 weeks ago
At Urology Associates, we are seeking a highly organized and detail-oriented Authorization/Referral Clerk to join our team. This role is responsible for ensuring that insurance referrals and pre-authorizations are in place and current with appropriate visits available.
Key Responsibilities:
- Work with surgery scheduling, front office staff, radiology scheduling, and billing to ensure that insurance referrals are in place and current with appropriate visits available.
- Contact insurance carriers for pre-authorizations of procedures and medications and ensure that required approvals are obtained prior to patient visit.
- Responsible for accurate data entry of patient demographics and documentation of all pre-authorizations.
- Responsible for calculating estimated patient responsibility for procedures.
- Ensure that all details of the visit are communicated to the patient including estimated cost when appropriate so that upon arrival the appointment can go as scheduled.
Requirements:
- High school degree or GED required, college degree preferred.
- Computer skills required.
- Insurance authorization experience preferred.
- Medical scheduling preferred.
- Strong organization skills.
- Strong communications skills, both oral and written.
- Some medical terminology knowledge.
Physical Requirements:
- Manual Dexterity
- Constantly required to perform gross body coordination such as walking, stooping, and standing while performing tasks, carrying and lifting objects.
- Constantly required to perform simple motor skills and manipulative skills such as typing and writing.
Working Conditions:
- Constantly required to sit for long periods of time.
- Required to walk and stand (including for long periods of time).
Language: English
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