Authorization Specialist

SB Clinical Practice Management Plan•Lake Grove, NY

6d•Onsite

About The Position

The Authorization Specialist will provide general administrative and clinical office support, acting as a liaison between patients and physicians. This role involves managing referrals and authorizations, validating patient insurance, and communicating with various stakeholders regarding patient care and financial matters.

Requirements

High School diploma/GED.
One (1) year of administrative experience in a medical office setting.
Prior pre-authorization or obtaining referrals process experience.
Strong organizational and communication skills (both verbal and written).
Excellent typing skills and friendly telephone etiquette.
Microsoft Office proficiency.

Nice To Haves

EMR experience.
Experience with patient scheduling.
Experience with managed care companies.
Bilingual speaking.

Responsibilities

Access referrals and authorizations via the internet.
Update and inquire about insurances not available on the internet.
Obtain authorizations for CAT scans and other radiological procedures.
Validate patient insurance.
Contact patients concerning referrals or down payments for self-pays.
Inform self-pays of UH financial aid applications and Medicaid applications.
Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers regarding referrals or issues with obtaining referrals.
Ensure approvals for authorizations are in the EMR and CERNER systems.
Ensure all data are accurately documented in the EMR and scanned into CERNER.
Perform other duties as assigned.