Authorization Specialist ($1,000 Sign On Bonus!)

American Vision Partners•Phoenix, AZ

4d•Onsite

About The Position

This position verifies insurance coverage, benefits and obtains prior authorization for services. $1,000 sign-on bonus available (terms apply) Bonus paid after 90 days; repayment required if employment ends within 6 months.

Requirements

High School diploma or equivalent
Minimum of 1-2 years of insurance verification, referrals, prior authorization, or eligibility experience required experience preferred.
Active knowledge of CMS guidelines contracted insurance guidelines and coding policies.
Demonstrated computer literacy
Well-organized with attention to detail
Ability to read and understand oral and written instructions
Excellent math skills
Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients.
Professional customer service skills.
Have a desire and dedication to work with self-discipline.
Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations.

Nice To Haves

Critical thinking skills are strongly preferred

Responsibilities

Contacts insurance plans to determine eligibility and obtain coverage and benefit information.
Obtains prior authorization for services.
Processes requests for prior authorization for surgery and/or procedure injections
Identifies and resolves problems with participant eligibility/insurance coverage
Accurately calculates patient responsibility amounts based on benefit information and payer allowable.
Documents findings thoroughly and accurately.
Prioritizes work to maximize turn-around time.
Meets or exceeds productivity standards in the completion of daily assignments and accurate production.
Maintain an error rate in accordance with departmental policy.
Makes changes to demographic information as necessary in order to produce a clean patient statement.
Answer and respond to external and internal phone calls in a timely manner.
Check and respond to emails in a timely and professional manner.
Performs all other assigned duties.
Conducts self in accordance with the company’s standard values and policies.
Participates in a variety of educational programs, corporate and professional, to maintain current skill and competency levels.