Authorization Specialist

Healing PartnersSparks Glencoe, MD
20h$19 - $24Remote

About The Position

The Authorization Specialist is responsible for obtaining, documenting, and attaching authorizations to encounters prior to billing for E&M’s and procedures. Reporting directly to the Revenue Cycle Manager, the Authorization Specialist will assist with revenue and billing operations within their scope.

Requirements

  • High School Diploma or equivalent
  • 1 year experience in a healthcare billing setting
  • Knowledge of insurance billing guidelines
  • Prior experience with authorization and tools to obtain (ex. Insurance portals)
  • Detail oriented, problem solver/analytical, flexible, and self-motivated
  • Proficiency with Microsoft (Outlook, Office Word, and Excel)
  • Organized, ability to multi-task in a fast-paced environment
  • Works well independently and in a team setting
  • Ability to type 45+ words per minute

Responsibilities

  • Verify patient’s insurance is accurate prior to investigating authorizations.
  • Verify patient’s if authorization is needed for services.
  • Attach authorization number to the patient’s account, unbilled claims and rebill claims where the number was missing from the initial claim.
  • Follow up on required authorizations for billed claims that can be back dated.
  • Work denials related to missing authorization to determine if the insurance needs to be added to the authorization list or if claim is still viable for payment.
  • Reach out to facilities if authorization for our services can be covered by the facility’s authorization number.
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