Authorization Specialist

SB Clinical Practice Management•Town of Brookhaven, NY

1d•$20 - $26•Onsite

About The Position

The Authorization Specialist provides general administrative and clinical office support and serves as a liaison between patients and physicians. The role is based at Stony Brook Psychiatric Associates, UFPC in Stony Brook, New York, and is full-time, Monday through Friday, 8:00 AM to 5:00 PM. The posted pay range is $20.44–$25.55. Compensation is determined based on relevant experience and education, market conditions, and internal equity. The specialist accesses referrals and authorizations online, follows up with insurers that are not available online, obtains authorizations for radiological procedures, validates patient insurance, and communicates with patients about referrals and self-pay payments. The role also involves helping self-pay patients learn about financial aid and Medicaid applications, coordinating with medical providers and insurers, and ensuring accurate authorization and patient information is entered into the EMR and CERNER systems.

Requirements

High school diploma or GED.
One year of administrative experience in a medical office setting.
Prior experience with pre-authorizations or obtaining referrals.
Strong organizational and verbal and written communication skills.
Excellent typing skills and friendly telephone etiquette.
Proficiency with Microsoft Office.

Nice To Haves

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

Responsibilities

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