Authorization Specialist- MMF Family Medicine PV
About The Position
The Authorization Specialist is an integral member of the healthcare team and is responsible for obtaining pre-certifications and pre-authorizations for procedures, durable medical equipment and medications including any other authorizations as needed per clinic. Works with internal physician office staff, patients, providers and clinical staff to facilitate a fast and efficient authorizations process. Consistently facilitates effective communication between our patients, families, insurance companies, providers and members of the patient care support staff and participates in quality performance improvement activities to support a positive patient focused customer service experience.
Requirements
- High School Diploma or GED required
- Exceptional communication and customer service skills
- Strong organizational skills
- Ability to prioritize and manage a great number of details
- Ability to multi-task with strong follow-through
- Ability to take initiative
- Ability to learn quickly and actively participate as part of an administrative team
- Computer proficiency with MS Office Suite, including Word and Excel, and Google applications
- Ability to learn new programs with ease
- Ability to establish and maintain effective working relationships with all levels of staff, volunteers, and the general public
- Excellent interpersonal skills and comfort with people in all stages of health and healing
- Adherence to HIPAA regulations
- Maintenance of clinic, provider, RN, and patient confidentiality
Nice To Haves
- A minimum of two years’ customer service experience, preferably within a healthcare environment
- Experience working with patients and providers, using EPIC (electronic health record)
- At least one year of experience with insurance/medication authorizations
Responsibilities
- Obtaining pre-certifications and pre-authorizations for procedures, durable medical equipment and medications.
- Facilitating a fast and efficient authorizations process by working with internal physician office staff, patients, providers, and clinical staff.
- Facilitating effective communication between patients, families, insurance companies, providers, and patient care support staff.
- Participating in quality performance improvement activities to support a positive patient-focused customer service experience.
- Verifying and processing insurance eligibility.
- Obtaining authorization requests.
- Verifying personal credentials with external partners to obtain information (e.g., ID.me for identity verification for VA insurance coordination).
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
