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Job Summary :
The Authorization Specialist-MVP tracks and initiates authorizations and re-authorizations. Accurately completes authorization requests, i.
e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i.e. history / physical, physician / progress notes, prescription, etc.
Monitors financial hold list and supplies contracted billing service with necessary paperwork for expeditious billing. Performs other duties as needed.
Education and Experience :
High School Diploma or GED required. Minimum six months experience in a healthcare setting required. Pharmacy technician experience in infusion pharmacy preferred.
Knowledge and Skills :
Knowledge of third-party reimbursement, statistics, data analysis, and ability to speak clearly and gather information. Ability to operate copy machine, fax machine, and computer.
Able to type minimum of 30 wpm. Able to communicate effectively in English, in person, in writing, and by phone, etc., with customers / patients / staff / physicians, nurses and the general public.
work independently with minimal supervision. Able to maintain a high level of understanding of pharmacy home infusion / home health practices, all functions of home infusion program and the most current practices of obtaining authorization / re-authorization information and data.
Able to distinguish colors as necessary; write, hear, read, and speak sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with workplace;
see adequately to read computer screens, and written documents necessary to the position; discern temperature variances through touch.
Licensures and Certifications :
Pharmacy Technician Certification preferred.
Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
Last updated : 2024-05-02
Full Time
$67k-82k (estimate)
05/05/2024
05/12/2024
mediabistro.com
New York, NY
100 - 200
The job skills required for Authorization specialist include Billing, Communicates Effectively, Integrity, Teamwork, etc. Having related job skills and expertise will give you an advantage when applying to be an Authorization specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Authorization specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Authorization specialist positions, which can be used as a reference in future career path planning. As an Authorization specialist, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization specialist. You can explore the career advancement for an Authorization specialist below and select your interested title to get hiring information.
If you are interested in becoming an Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Authorization Specialist job description and responsibilities
Updates patient insurance and demographics information as needed.
03/31/2022: Florence, SC
Request, follow up and secure prior-authorizations prior to services being performed.
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Complete authorizations and referrals for services, including appointments and procedures.
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Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order
03/22/2022: Ann Arbor, MI
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Authorization Specialist jobs
There are great benefits to having a Prior Authorization Certified Specialist on staff to help with the administrative process.
03/31/2022: Greensboro, NC
Give credence to customer complaints.
02/08/2022: Salem, OR
Create a quick reference guide of your payor contacts
04/11/2022: Cincinnati, OH
Authorization Specialist assist with other clerical tasks as needed.
01/22/2022: Lincoln, NE
Licenses and certifications are not usually required to work as a prior authorization specialist.
03/09/2022: Bremerton, WA
Step 3: View the best colleges and universities for Authorization Specialist.