Medical Authorization Specialist- Gastroenterology

University of Maryland Emergency Medicine • Baltimore, MD

1d • Onsite

About The Position

Under general supervision, performs all medication prior authorizations as needed. Ensures that referral and pre-authorization activities are undertaken in order to provide maximum patient and provider satisfaction and maximum reimbursement; and other duties as assigned.

Requirements

• High school diploma or general education degree
• Two years related medical office experience
• Accurate data entry skills
• Current knowledge of payer requirements for referrals and preauthorization
• Knowledge of GE/IDX or similar computerized billing system
• General understanding of back-office operations
• Strong customer service skills
• PC proficiency

Nice To Haves

• Medical terminology preferred

Responsibilities

• Confirms insurance and demographic information is correct and accurate.
• Maintains knowledge of all payers’ guidelines.
• Reviews and extracts medical records to support medical necessity.
• Follows up to ensure all documentation is accurate and present.
• Works with patients, physicians and payers to resolve any denial issues.

Benefits

• health insurance
• life insurance
• retirement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees