Authorization Specialist
Aspire Fertility Austin•Houston, TX
•Onsite
About The Position
Our Authorization Specialist will be responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. This includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record system.
Requirements
- Able to read, interpret, and implement specified records.
- Knowledge of Medical and Diagnosis codes (CPT/DX)
- Demonstrated knowledge of medical terminology and office procedures.
- Demonstrated knowledge of third-party and insurance company operating procedures, regulations and billing requirements.
- Experience with Microsoft Office suite and Electronic Medical Record (EMR) system.
- Ability to effectively establish and maintain cooperative and effective working relationships
- Effectively prioritize competing responsibilities, with a sensitivity toward matters which are time sensitive.
- Exercise a high level of discretion and sensitivity to patient privacy.
- Ability to recognize, evaluate, solve problems and correct errors.
- Ability to use telephone, keyboard, computer, office equipment and software programs.
Responsibilities
- Check patient eligibility and insurance plan benefits via online payer portals and confirming with insurance companies
- Scan complete authorization form in EMR system
- Review medical records
- Initiate authorizations using online resources, insurance specific forms, and making outgoing calls to insurance companies
- Follow department procedures to ensure timely completion of benefit investigations
- Communicate with internal patient financial services department, clinical staff and external practice managers when inaccurate demographic information is supplied
- Review and update authorization information in the EMR system
- Support and actively participate in initiatives designed to improve individual and organizational performance.
- Coordinate with clinical staff to set up peer to peer meetings for physicians and insurance medical directors.
- Assist patients with insurance denials and appeals
- Performs other duties/special projects and tasks as assigned
Benefits
- Medical, dental, and vision plans
- Complimentary basic life insurance
- Employee Assistance Program
- Long-term disability insurance
- FREE or low-cost employee-only healthcare coverage option
- Comprehensive fertility benefits
- Adoption assistance
- Surrogacy support
- Generous maternity, paternity, and partner leave
- 18 days of PTO annually
- 11 paid holidays
- One floating holiday
- 401(k) plan
- Competitive company match
- Full vesting after 2 years
- Lifestyle Spending Account
- Health Savings Account (HSA) with regular employer contributions
- Employee Referral Program
- Continuing education reimbursement
- Dedicated time off for professional development
- Free premium Calm Health app subscription
- Emotional well-being and work-life resources
- Accident, Critical Illness, Hospital Indemnity, and Pet Insurance coverage options
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
