Scheduling & Auth Specialist 2. Children's Hospital
About The Position
The Scheduling & Auth Specialist 2 is responsible for financially clearing insurance verifications for all services and patient financial classifications, reviewing medical records, interfaces with payers to extend authorization for treatment, collaborates with Patient Business Office (PBO), assists with reimbursement and authorization according to contracts, and supports the denials and appeals process. Obtains pertinent documentation to support authorization requests. Serves as the liaison between PBO, Central Authorization, physicians, outside medical groups (OMG), various insurance carriers, patients, and all departments for office visits, in-patient and out-patient services. Performs other duties as needed.
Requirements
- Associate's Degree required.
- Minimum three years of related experience required.
- Knowledge of various insurance types and their guidelines, including the ability to read and interpret EOB's.
- Working knowledge of current ICD and CPT coding systems.
- Able to keyboard 40 wpm.
- Able to read; write legibly; speak in English with professional quality.
- Use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
- Operate/troubleshoot basic office equipment required for the position.
- Able to relate and communicate positively, effectively, and professionally with others.
- Work calmly and respond courteously when under pressure.
- Collaborate and accept direction.
- Able to communicate effectively in English in person, in writing, and on the telephone.
- Think critically.
- Manage multiple assignments effectively.
- Organize and prioritize workload.
- Work well under pressure.
- Problem solve.
- Recall information with accuracy.
- Pay close attention to detail.
- Work independently with minimal supervision.
- Able to distinguish colors as necessary.
- Hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace.
- See adequately to read computer screens, and written documents necessary to the position.
Nice To Haves
- Minimum one year of healthcare experience preferred.
- Medical coding certification preferred.
Responsibilities
- Financially clear insurance verifications for all services and patient financial classifications.
- Review medical records.
- Interface with payers to extend authorization for treatment.
- Collaborate with Patient Business Office (PBO).
- Assist with reimbursement and authorization according to contracts.
- Support the denials and appeals process.
- Obtain pertinent documentation to support authorization requests.
- Serve as the liaison between PBO, Central Authorization, physicians, outside medical groups (OMG), various insurance carriers, patients, and all departments for office visits, in-patient and out-patient services.
- Perform other duties as needed.
Benefits
- Equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law.
- Reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
