AUTHORIZATION SPECIALIST

CHC Solutions, Inc.•Findlay Township, PA

3d•Onsite

About The Position

CHC Solutions, Inc. is currently seeking a passionate Insurance Authorization Specialist to join our team in the Pittsburgh, PA (Robinson Township) office. Who We Are CHC Solutions, Inc. provides medical supplies to patients with a focus on outstanding customer service. We are headquartered near Pittsburgh, PA and have multiple locations throughout the Eastern United States. We receive an order from doctors and their staff, verify the products are covered by the patient’s insurance, the supplies are shipped to them, and we bill their insurance. Everything we do is about improving the patient experience. Caring is the difference. As an Insurance Authorization Specialist, you will join a dedicated team focused on ensuring patients prescribed medical supplies are covered by their insurance.

Requirements

Possess experience with insurance and customer service in the health care industry (preferred)
Strong typing and computer skills, including Word, Excel and Outlook
Exceptional verbal and written communication abilities
Demonstrated expertise in time management, organization, multitasking, prioritization and follow-through in dynamic environments
Comfortable and effective working in fast-paced settings
Capable of working independently while contributing positively to a collaborative team

Responsibilities

Verify insurance eligibility using our established methods.
Accurately enter insurance, patient ID and eligibility details into patient accounts.
Obtain clinical documentation, including physician records, to support medical need for the product.
Prepare and submit precertification/authorization requests per insurance requirements.
Manage open and pending authorizations by following established procedures.
Communicate patient financial responsibilities.
Update patients and referrals on order progress and delays.
Document all correspondence with patients, families, providers or insurers in the patient account using the standard note format.
Upload medical documents to patient accounts.
Follow all CHC Solutions policies, procedures and protocols.
Comply with all government regulations and professional standards for patient care.
Maintain a positive, empathetic and professional attitude with customers at all times.
Provide product education upon patient request.
Engage in continuous education to stay current on the products dispensed by the company.
Report incidents or complaints to your supervisor and complete the required documentation.