Authorization Specialist
1 week ago
Medix is seeking a skilled Authorization Specialist to join our team. As an Authorization Specialist, you will be responsible for ensuring timely verification and validation of authorizations for all commercial and managed care inpatients, as well as other assigned services.
Key Responsibilities:- Verify and validate authorizations for all assigned services in a timely manner.
- Contact insurance companies via phone or website to secure necessary authorizations.
- Review all discharged managed care patients for authorization entry in the Authorization Module.
- Obtain missing authorizations within 3 business days of discharge or, in certain cases, within 7 days of admission.
- Conduct weekly checks on bill hold for pending authorizations.
- Assist with sending delinquent reviews and resending reviews not received by payors.
- Maintain effective communication with Case Management and other departments, fostering professional, cooperative relationships to facilitate authorization acquisition.
- Track and analyze authorization issues by payer and prepare monthly reports for senior leadership.
- Clearly document all contacts and authorization details in the hospital system, ensuring all records meet standardized documentation requirements.
- 2+ years of experience in authorizations and insurance verification in a high-volume setting.
- Experience working with a wide variety of payors and obtaining authorizations efficiently.
- Background in hospital settings preferred but not required.
- Strong attention to detail and ability to track and analyze authorization issues.
- Excellent communication and relationship-building skills.
- Ability to meet deadlines and follow up on outstanding authorizations within expected timeframes.
We are an equal opportunity employer and welcome applications from all qualified candidates. This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment.
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