Urology Authorization Specialist

4 days ago


Phoenix, Arizona, United States IRONWOOD PHYSICIANS,P.C. Full time
Job Title: Authorization Specialist - Urology

We are seeking a highly skilled and experienced Authorization Specialist to join our team at Ironwood Physicians, P.C.

Job Summary:

The Authorization Specialist will be responsible for ensuring that patient authorizations are obtained and processed in a timely and accurate manner. This will involve working closely with our Benefits Coordinator to obtain and verify patient insurance information, as well as communicating with insurance companies to obtain authorization for patient visits and treatments.

Key Responsibilities:

  • Enter patient demographic information into our computer system, including insurance details.
  • Work patient accounts to resolve any issues or discrepancies.
  • Determine authorization status by verifying information in our computer system and patient charts.
  • Provide the Benefits Coordinator with any new information on insurance coverage or new drugs added to protocols.
  • Confirm the correct insurance information from our computer system and patient charts.
  • Obtain authorization for patient visits and treatments prior to the date of service.
  • Record authorization details in patient charts and our computer system.
  • Recheck authorization every 6 months if no activity has occurred with treatment.
  • Run reports of authorizations that are terming prior to treatments.

Requirements:

  • Minimum of 2 years of experience in authorization.
  • Knowledge of insurance company procedures and policies.
  • Knowledge of governmental, legal, and regulatory provisions related to HIPAA.
  • Knowledge of chemotherapy-related drugs and supplies utilized.
  • Knowledge of diagnostic testing and radiation procedures.
  • Knowledge of CPT, ICD-9, HCPCS coding.
  • Knowledge of basic mathematics.

We Offer:

A competitive salary and a comprehensive benefit package, including health, dental, vision, and life insurance, 401K, and a caring work environment. We are an equal opportunity employer.


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