Authorization Specialist
3 hours ago
The Authorization Specialist plays a critical role in the Network Navigation department, serving as a resource for both the Authorization Advocate and the patient. This position is responsible for resolving complex pre-certification, authorization, and referral needs. The Authorization Specialist will work closely with physicians, physician offices, insurance companies, and the Authorization Advocates to answer patient questions and resolve patient issues.
Key Responsibilities:- Resolve complex pre-certification, authorization, and referral needs
- Work with physicians, physician offices, insurance companies, and Authorization Advocates to answer patient questions and resolve patient issues
- Provide excellent customer service and communication skills
- Manage multiple priorities and tasks in a fast-paced environment
- Collaborate with other Specialists, Leads, and Advocates on process improvement projects
- Accurately enter required information into patients' charts
- Act as a clinical resource for the Authorization Advocates and the entire Network Navigation team
- Maintain patient confidentiality and adhere to state, federal, and company regulations
- Strong communication and interpersonal skills
- Ability to multitask and prioritize work in a fast-paced environment
- Excellent customer service skills
- Knowledge of medical terminology
- Proficiency in Microsoft Office suite (Outlook, Excel, Word)
- Experience with Meditech preferred but not required
- Communication and Interpersonal
- Focus on the needs of the patient with each interaction
- Answers phone calls promptly and courteously with a smile to provide a positive impression of Hancock Health
- Directs calls appropriately for patient assistance
- Effectively communicates in a timely and professional manner
- Caring, compassionate, and approachable in all customer contacts
- Respects customers' right to privacy and modesty
- Maintains customers' confidentiality
- Speaks so that customers hear a smile
- Takes personal ownership of appearance and that of work environment
- Takes necessary steps to fix problems immediately
- Provides personalized attention by being courteous, friendly, and helpful when responding to customers' needs
- Recognizes that customers' time is very valuable; provides them with prompt service
- Demonstrates advocacy, respect, and truth-telling
- Demonstrates accountability for own actions
- Demonstrates the ability to respectfully address interpersonal conflicts
- Takes initiative to help others
- Demonstrates a learning attitude toward solving problems
- Demonstrates openness to change and new learning
- Reports to work on time and has regular attendance
- Adheres to practice-defined dress code
- Attends staff meetings
- Respects the needs, expectations, and rights of all individuals
- Advocates the rights of all to a safe environment
- Uses sensitivity to cultural diversity to guide decision-making
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