Authorization Specialist

SB Clinical Practice Management•Town of Brookhaven, NY

1d•Onsite

About The Position

This position provides general administrative and clinical office support, acting as a liaison between patients and physicians. The Authorization Specialist will be responsible for accessing referrals and authorizations via the internet, updating insurance information, obtaining authorizations for procedures, validating patient insurance, and communicating with patients, physicians, and insurance carriers regarding referrals and payment issues. The role also involves ensuring that authorization approvals are accurately documented in the EMR and CERNER systems.

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 the referrals and authorizations via the internet.
Update and inquire as to those insurances that are not 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.
Ensuring the approvals for the authorizations are in the EMR and CERNER systems.
Ensure all data are accurately documented in the EMR and scanned into CERNER.
All other duties as assigned.