Authorization Specialist

SB Clinical Practice Management Plan • Stony Brook, NY

16h • Onsite

About The Position

This role provides general administrative and clinical office support, acting as a liaison between patients and physicians. The Authorization Specialist will manage referrals and authorizations, update insurance information, obtain authorizations for procedures, validate patient insurance, and communicate with patients, physicians, and insurance carriers regarding these matters. Accurate documentation in EMR and CERNER systems is crucial.

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 payment for self-pays.
• Inform self-pays of UH financial aid applications and Medicaid applications.
• Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers concerning 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.

Benefits

• Compensation based on relevant experience and education.
• Individual compensation discussions during the hiring process.
• Potential for compensation review during job review and promotional opportunities.
• Payroll and human resources services provided by StaffCo.
• Payment of wages, collection and reporting of payroll taxes.
• Employee benefits provided by StaffCo.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED