Authorization Specialist

5 days ago


Salinas, California, United States American Vision Partners Full time
About American Vision Partners

We are a leading provider of eye care services, partnering with top ophthalmology practices to deliver exceptional patient care. Our team is dedicated to building a comprehensive network of eye care centers, with a focus on teamwork, continuous improvement, and patient satisfaction.

Job Title: Authorization Specialist

We are seeking a highly skilled Authorization Specialist to join our team. As an Authorization Specialist, you will play a critical role in verifying insurance coverage, benefits, and obtaining prior authorization for services.

Responsibilities:
  • Contact insurance plans to determine eligibility and obtain prior authorization for services
  • Process requests for prior authorization from clinics and Patient Care Coordinators
  • Document findings thoroughly and accurately
  • Make changes to demographic information as necessary to produce a clean patient statement
  • Meet or exceed productivity standards in the completion of daily assignments and accurate production
  • Maintain an error rate in accordance with departmental policy
  • Perform training with organizational staff on procedures for requesting, documenting, and processing prior authorizations
Qualifications:
  • High School Diploma or GED
  • 2+ years of experience in medical billing environment
  • Ophthalmology background is a plus
  • Active knowledge of CMS guidelines, contracted insurance guidelines, and coding policies
  • Demonstrated computer and math skills
  • Detail-oriented, reliable, and able to multi-task in a fast-paced, high-volume work environment
  • Excellent verbal and written communication skills
  • Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism
Benefits and Perks:

We offer a comprehensive benefits package, including medical and dental insurance, significant eye care discounts, PTO, and opportunities for growth and development. Your health, happiness, and future matter to us.



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