Authorizations Specialist

Advocate Radiation Oncology•Cape Coral, FL
•Onsite

About The Position

We are seeking an experienced, full-time Authorization Specialist for a radiation oncology office. The role verifies insurance coverage, eligibility, and benefits; obtains required authorizations and pre-certifications; and records verification details in the patient accounting system. The specialist communicates insurance status to physicians and works closely with the billing department to relay accurate information. This position requires working in person in an office with others and training in Port Charlotte. Pay is commensurate with experience.

Requirements

  • At least 1 year of prior authorization or insurance verification experience; insurance verification experience is listed as required.
  • Excellent communication skills for communicating with internal customers, physicians, insurance companies, and patients.
  • Understanding of various insurance plans and plan types, including setting plan codes.
  • Willingness to train in Port Charlotte.
  • Ability to work in person in an office with others.

Responsibilities

  • Verify that scheduled procedures are covered by patients’ insurance.
  • Verify insurance coverage, eligibility, and benefits, and obtain authorizations and pre-certifications required by insurance companies for appointments or procedures.
  • Enter complete verification, eligibility, and benefit information in the patient accounting system, including the date, time, and method used to obtain the information for each patient.
  • Communicate with physicians about their patients’ insurance status and whether they may proceed with the planned care.
  • Work closely with the billing department and relay accurate information.
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