Authorization Specialist

4 weeks ago


Phoenix Arizona, United States American Vision Partners Full time
Company Intro:
At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.

At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees

Overview:
As an Authorization Specialist, you'll verify insurance coverage, benefits, and obtain prior authorization for services.

Responsibilities:

Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorization for services

Processes requests for prior authorization from clinics and Patient Care Coordinators

Documents findings thoroughly and accurately

Makes changes to demographic information as necessary in order to produce a clean patient statement

Meets or exceeds productivity standards in the completion of daily assignments and accurate production

Maintains an error rate in accordance with departmental policy

Performs training with organizational staff on procedures for requesting, documenting and processing prior authorizations

Performs additional duties as assigned

Qualifications:

High School Diploma or GED

2+ years of experience in medical billing environment

Ophthalmology background is a plus

Active knowledge of CMS guidelines contracted insurance guidelines and coding policies

Demonstrated computer and math skills

Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment

Excellent verbal and written communication skills

Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism

Benefits & Perks:
Your health, happiness and your future matters At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more



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