AUTHORIZATION SPECIALIST - WCC - PATIENT ACCESS-REGISTRATION

Aspirus•Wausau, WI

55d

About The Position

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a AUTHORIZATION SPECIALIST to join our PATIENT ACCESS-REGISTRATION team! The Authorization Specialist is critical to ensure accurate prior and ongoing authorizations. This position collects demographic, insurance, and clinical information from intake department and clinicians to ensure reimbursement requirements are met. Coordination and communication with the patient and clinical team is key for successful financial analysis and clearance. Position requires the ability to multi-task, attention to detail, and requires a high degree of accuracy and timely submission of authorization requests. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly

Requirements

Knowledge of office procedures normally acquired through completion of a High School diploma, GED, or equivalent combination of education and experience.
Minimum of 2 years' experience in a business office or healthcare setting preferred.
Intermediate knowledge of ICD-10 and CPT codes preferred.
Associate degree in Business Administration or Health Care Business Services or other applicable area preferred.
Ability to proficiently use a computer and type required; experience with the electronic medical record strongly preferred.
Previous Medical Clinic experience preferred.
Working and applied knowledge of coding principles, Medicare, Medicaid, and commercial insurance practices highly recommended.
Excellent written and oral communication skills with a high degree of professionalism.
Demonstrates accuracy in record keeping and documentation.
Able to maintain a positive service attitude under the stress of changing conditions/job demands.
Demonstrates ability to organize multiple activities and effectively handle a fast-paced, changing workload with daily deadlines.
Possesses an overall understanding of insurance and government authorizations in a health care organization.
Significant experience with health insurance utilization management services
Possesses the ability to troubleshoot and work independently.
Is self-directed and displays good judgment with attention to detail.
Possesses the ability to work with many changes within the insurance and government payer process.
Ability to work cooperatively and effectively with providers, patients, staff, and the public.
Ability to establish priorities and coordinate work activities.
Ability to maintain confidentiality with regard to all phases of work.
Knowledge of federal and state laws regarding HIPAA and release of information.

Nice To Haves

Minimum of 2 years' experience in a business office or healthcare setting preferred.
Intermediate knowledge of ICD-10 and CPT codes preferred.
Associate degree in Business Administration or Health Care Business Services or other applicable area preferred.
Experience with the electronic medical record strongly preferred.
Previous Medical Clinic experience preferred.
Working and applied knowledge of coding principles, Medicare, Medicaid, and commercial insurance practices highly recommended.