Authorization Specialist

Found in: Resume Library US A2 - 7 days ago


Tampa Florida, United States United Vein & Vascular Centers Full time
Overview:
United Vein & Vascular Centers is a rapidly growing national healthcare organization specializing in state-of-the-art, minimally invasive surgical vein and vascular treatments.  With numerous clinics across Florida, Georgia, Colorado, Arizona, and Illinois, we have positively impacted the lives of thousands of patients.  Our team of dedicated physicians and staff work together to deliver exceptional care, utilizing the latest technology and cutting-edge techniques.  Join our growing team as we continue to revolutionize the industry and transform lives

Responsibilities:
The Authorization Specialist will be responsible for the submission of requests using paper forms, printed documentation, fax, payer portals or other means. They will complete follow up on requests to ensure timely turnaround/approval and escalate problem accounts to ensure resolution. Will have regular contact with patients, insurance plans, physician offices, respiratory therapists and other personnel.

 

Submit in a timely manner, the required forms and documentation to obtain authorization for services, supplies and equipment for patients under the assigned payers.

Contact patients, physician offices and referral sources as needed regarding account issues.

Work collaboratively with other department staff to ensure timely collections or resolution of issue.

Review patient’s clinical documentation and verify payor specific medical coverage guidelines are being met prior to authorization submission.

Maintain confidentiality in all aspects of patient care, employee activities and office environment.

Demonstrate and promote a work culture committed to UVVC’s Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.

Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.

Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.

Other duties as assigned.

Qualifications:
HS Diploma or GED required.

Minimum of 2-3 years experience in Authorization.

Experience working with payer portals such as Availity, UHC, and TriCare.

Prior experience working with eClinicalWorks a plus. 

Must be able to work independently and as a part of a team.

We Offer:

Competitive compensation package

Health, vision and dental benefits

401K plan

Life insurance (100% company paid)

PTO and paid holidays



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