Medical Authorization Specialist
3 hours ago
This role is responsible for ensuring all pre-service accounts are financially cleared and secured prior to the date of service. The specialist will obtain and verify accurate insurance information, benefit validation, and authorizations.
Key Responsibilities- Contact insurance carriers to verify patient eligibility, benefits, and authorization requirements.
- Request, track, and obtain pre-authorizations prior to services being performed.
- Apply knowledge of medical terminology and general medical office procedures.
- Communicate insurance coverage and/or authorization changes or trends among team members.
- Maintain a high level of productivity suitable for the department.
- Clearly document all communications and contacts with providers and personnel in standardized documentation requirements.
- High School Diploma or equivalent.
- Demonstrated knowledge of insurance and medical terminology.
- 1+ year experience in insurance verification, including navigating websites for online benefit review.
- Knowledge of CPT and ICD-10 codes.
- Excellent computer, multi-tasking, and phone skills.
- The ability to work well under pressure to address time-sensitive deadlines.
- Problem-solving, time management, and exceptional interpersonal skills.
This role operates in a medical office facility.
Physical DemandsThis position requires the ability to sit for long periods, view computer screens, answer calls, write, read, and take notes.
Position Type/Expected Hours of WorkThis is a full-time position with varying hours between 8:00 a.m. and 4:30 p.m., Monday through Friday.
No travel is required.
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