Authorization Specialist Jobs

About The Position

Requirements

• High school diploma or equivalent
• A minimum of 2 years of experience in medical billing and/or follow-up with all types of insurance carriers including Medicare and Medicaid.
• Complete understanding of AR and PMS system.
• Familiarity of Microsoft Office programs, including, but not limited to, Excel and Outlook.
• Knowledge of current Billing Operating System (Athena)
• Verifies insurance and PCP assignments at least 3 days prior to the set appointment.
• Communicates in a clear and timely manner with the Director of Revenue Cycle.

Responsibilities

• Verifies insurance eligibility, confirms Primary Care Provider (PCP) designations, and contacts patients directly to gather missing details or facilitates calls to update PCP status prior to appointments.
• Proactively reviews patient schedules to identify, submit, and secure all required medical and service authorizations before patients are seen by providers.
• Utilizes deep system knowledge to research, troubleshoot, and resolve upstream and downstream revenue cycle issues directly within the AthenaNet platform.
• Executes specialized financial research and data projects directly by the CFO and Director of Revenue Cycle, including the preparation of critical HRSA UDS Report tables.
• Educates patients, staff, and payers on complex financial processes, creates clinical communication cases for data corrections, and assists with training new revenue cycle employees.
• Other duties as assigned.

Benefits

• Health insurance (Employee only) 100% premium paid once eligible.
• 13 Paid holidays
• Parking included
• 403(b) Retirement Plan Participation effective within 4 weeks of employment
• Matching is offered once eligible with a 3-year vesting period