Medical Insurance Authorization Specialist

Olympic Sports & Spine • Tacoma, WA

4d • Onsite

About The Position

Medical Insurance Authorization Specialist Olympic Sports & Spine (OSS) is looking for a full-time , experienced medical insurance benefits Authorization Specialist to join our growing, fast-paced medical billing office. Olympic Sports & Spine (OSS) is known for its fun and energetic work environment and for valuing its employees . We offer a comprehensive benefits package including medical, dental, vision, paid vacation, sick time off, 401(k), and more... The schedule is Monday through Friday (no weekends) from 8 a.m. to 5 p.m . SUMMARY OF DUTIES: Process all activities related to authorizations for assigned locations. This individual must be highly skilled in time management to ensure patients receive timely pre-authorizations from insurance carriers. This role will support front office staff, therapists, and billing staff.

Requirements

• experienced medical insurance benefits Authorization Specialist
• This individual must be highly skilled in time management to ensure patients receive timely pre-authorizations from insurance carriers.

Responsibilities

• Review referrals for accuracy and completeness before processing to ensure carriers can expedite prior authorization.
• Consult with therapists and office staff to obtain medical documentation to ensure the plan of care is consistent with the diagnosis and referrals on file.
• Closely monitor the authorization status and make frequent follow-up calls to insurance.
• Create authorization records and ensure information is appropriately documented and communicated.
• Ensure authorizations are complete for the next day’s patients, or, if unable to obtain them, properly communicate to the office staff/therapist.
• Manage correspondence and provide detailed notes in the EMR system of all communication with insurance companies, patients, clinic staff, and billing staff.
• Execute prior authorization workflow, policies, and procedures.
• Secure patients' demographics and medical information by using great discretion and ensuring all procedures are in sync with HIPAA compliance and regulations.
• Performs other duties as needed.
• Participates in educational activities and attends monthly staff meetings.

Benefits

• medical
• dental
• vision
• paid vacation
• sick time off
• 401(k)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees