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Authorization Specialist

2 months ago

Columbia, Missouri, United States Palmetto Retina Center Full time
Job Title: Authorization Specialist

Palmetto Retina Center, a leading ophthalmology practice, is seeking an experienced Authorization Specialist to join our team.

Job Summary

We are looking for a highly organized and detail-oriented individual to facilitate the authorization process for our patients. The successful candidate will be responsible for verifying patient insurance and benefits, obtaining medical authorizations, and working closely with our clinical and billing departments.

Key Responsibilities
  • Verify patient insurance and benefits, including contacting payers to investigate and verify policy terms and benefits.
  • Facilitate the process for requesting medical authorizations and prior authorizations for medical claims.
  • Work closely with clinical administration and billing departments to assist patients with insurance approvals.
  • Provide guidance to healthcare providers and patients on documentation required for payer coverage.
  • Identify account issues and trends and work with management for resolution.
  • Update providers on changes related to regulations.
  • Plan and organize work effectively, meeting productivity requirements and ensuring timely completion.
Requirements
  • Two years of billing experience in a healthcare environment.
  • One year of experience collecting on medical accounts.
  • One year of experience conducting authorizations in a healthcare environment.
  • Word processing and computer experience required.
  • High school diploma or equivalent required.
  • Associate's degree in medical office technology or related field preferred.
What We Offer

Palmetto Retina Center offers a competitive salary and benefits package, as well as opportunities for professional growth and development.

We are an equal employment opportunity employer and welcome applications from diverse candidates.