Authorization Specialist
4 weeks ago
Key Responsibilities:
* Perform insurance verification for eligibility, coverage, and authorization requirements via Web or phone with third-party payers.
* Ensure all possible coverages are created and verified, through electronic or manual methods, and all discrepancies are resolved.
* Collect and validate order-related information, including office visit, radiology, and surgical orders.
* Escalate challenging accounts to team lead to ensure accounts are approved prior to patient appointment/surgery.
* Work closely with physician offices to obtain authorization for inpatient and outpatient services.
Qualifications:
* High school graduate or equivalent; some college preferred.
* 1-2 years of insurance, third-party payor, or secretarial experience in a healthcare setting required.
* Medical Terminology required.
* Analytical ability to gather and interpret data and communicate desired outcomes orally and in writing in a professional manner.
* Strong communication and interpersonal skills.
* Ability to handle multiple duties.
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