About the position
Our growing eye care organization has an immediate need for an Insurance Authorization Specialist who will handle all aspects of insurance authorizations for optical services and procedures.
Responsibilities
- File requests for prior authorization for all insurances that require based upon plan or insurance contract
- Request, obtain, and document all prior authorizations (or denials of same) appropriately and in a timely manner
- Obtain information about patient insurance coverage, benefits and eligibility
- Maintain and update internal listing of insurance carriers that require authorization
- Run system-generated reports to verify procedures by insurances requiring authorization are being captured
- Assist collection team with obtaining retro authorizations
- Coordinate with Call Center and Optical Offices on prior authorization and patient billing activity
- Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements
Requirements
- Comprehensive understanding of insurance verification, contract benefits and medical terminology
- Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data
- Professional and calming tone of voice free of use of inappropriate grammar
- Attentive listening skills
- Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines
- Ability to clearly articulate a response using appropriate voice modulation
- Strong Verbal and Written skills
- Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found
- Ability to perform essential job function with high degree of independence, flexibility, and creative problem-solving techniques
- Excellent organization, time management, and prioritization skills
Benefits
- Equal opportunity/affirmative action employer
