Financial Authorization Specialist

2 weeks ago


Duarte, California, United States TalentBurst Full time
Financial Clearance Specialist III

Position Overview:
Under the supervision of a manager, this role is essential for executing pre-registration tasks and securing authorizations from various insurance providers. The position demands a significant degree of independent judgment to effectively manage and obtain authorization requests for complex managed care patients in a timely manner. The Financial Clearance Specialist is recognized as a highly adaptable resource focused on service lines that enhance the patient experience initiative.

Key Responsibilities:
  • Authorization Coordination:
    Identify insurance providers requiring prior authorization for services and facilitate the authorization process. Coordinate authorizations for procedures and tests requested by healthcare providers for managed care patients. Review outpatient charts and communicate with third-party payors. Prepare necessary documentation for treatment authorization requests and ensure timely follow-up on pending utilization review cases.
  • Pre-Registration Duties:
    Conduct pre-registration activities prior to patient appointments, which include verifying demographic, clinical, financial, and insurance information. Engage with patients and payers to confirm details and resolve any discrepancies. Assess patient liabilities and inform them of their financial responsibilities.
  • Customer Service Excellence:
    Deliver outstanding customer service by assisting patients and visitors, acting as a liaison between them and support staff. Build effective relationships with colleagues and healthcare providers, demonstrating a commitment to patient care through excellent communication and professionalism.

Required Skills:
Proficiency in Microsoft Word and Outlook, experience with EMRs such as Allscripts, Touchworks, and EPIC, and familiarity with telecommunications systems. Strong organizational skills and the ability to manage multiple priorities in a fast-paced environment are essential.

Working Conditions:
This role involves regular contact with patients and their families, handling confidential information, and may require flexibility in scheduling to accommodate varying shifts.

Physical Requirements:
The position involves extensive computer use and communication via telephone, with occasional light physical tasks.

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