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Authorization Specialist
2 months ago
We're a physician-led, patient-centric network dedicated to simplifying healthcare and delivering connected care. Our multispecialty and urgent care providers serve millions of patients through our operating companies, including VillageMD, Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
Job DescriptionPosition Summary:
The Authorization Specialist is responsible for obtaining authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services. This role requires a deep understanding of medical insurance and clinical policies to ensure timely and accurate authorizations.
Key Responsibilities:- Identify appointments and procedures requiring authorization by monitoring schedules, system reports, and dashboards.
- Verify insurance eligibility and benefits, and update patient information as necessary.
- Complete referrals and prior authorizations in a timely manner according to department guidelines.
- Communicate effectively with patients, physicians, office staff, and manager to resolve issues related to denied or delayed authorizations.
- Demonstrate expertise in using electronic tools and systems to organize and process daily work.
- High School Graduate/GED Required.
- 2-4 years of related experience Preferred.
- Experience with Standard Office Equipment and Microsoft Office Suite Required.
We value the critical role that health and wellness play in the lives of our team members and their families. Our benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages, and a 401k savings plan.
We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression, national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
