1 Insurance/Authorization Specialist Job in Canby, OR
nt4kids.org is Hiring an Insurance/Authorization Specialist Near Canby, OR
Job Summary:
- Paid Sick leave.
- Assistance with Continuing Educations.
- Matching retirement plan.
- Responsible for verifying insurance coverage prior to client’s first appointment and submit for authorization when required by insurance company.
- Daily verifying schedule for next day visits for authorization and request more visits or reports as necessary to continue treatment and notify office specialists and therapists.
- Verify insurance and diagnosis codes of new referrals in insurance New Referrals.
- Monitor the Authorization and RX tab in Fusion and do whatever necessary to resolve.
- Requests more authorizations for clients to continue treatment.
- Request prescriptions and doctor signature with reports from Medical Records.
- Send request to PCP for new diagnosis code as requested by therapist.
- Calling parents to discuss benefits, issues.
- Return any parent or PCP calls.
- Maintain HIPPA compliant protocol.
- Assist billing with denied claims, calling to find out why and making sure they are reprocessed or submit for retro authorization.
- Assist billing with sending DMAP clinicals or any clinical requests from any insurance.
- Assist billing with compiling and send appeals requests when needed.
- Answer any incoming insurance calls or emails from other clinics, families, PCP offices.
- Research special requests from therapists (such as intensives, 2x week, coordination of multiple services and multiple insurance) parents and office specialists.
- Assist the Clinic Director when requested.
- Assist Medford clinic when requested.
- Other tasks, duties and responsibilities that may be assigned at any time.
- Pre-employment background check required once job offer has been made.
- Prominent time management and organizational skills.
- Ability to prioritize projects and handle multiple tasks simultaneously.
- Effective verbal and written communication skills.
- Ability to stay calm in a stressful environment.
- Motivated self-starter, highly detail-oriented, with great work ethic.
- Medical Billing experience required.
- Knowledge of ICD codes and CPT coding for OT/PT/ST, mental health therapy and alternative care preferred.
We have grown to include 8 clinics throughout the state of Oregon. Seven clinics are located in the Portland metro area (Oregon City, Northeast Portland, Hillsboro, McMinnville, Wilsonville, Canby ,and Clackamas). One in Medford with our partner, Medford Children’s Therapy. Together these clinics provide more than 800 client visits each week.
We work to positively impact kids, families, and our community by providing comprehensive therapy services in an innovative and collaborative environment, with an unwavering commitment to the removal of financial barriers for all.
Job Summary
Part Time
$40k-49k (estimate)
09/27/2023
05/21/2024
The job skills required for Insurance/Authorization Specialist include Customer Service, Billing, Written Communication, Medical Billing, Attention to Detail, Time Management, etc. Having related job skills and expertise will give you an advantage when applying to be an Insurance/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 Insurance/Authorization Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Insurance/Authorization Specialist positions, which can be used as a reference in future career path planning. As an Insurance/Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Insurance/Authorization Specialist. You can explore the career advancement for an Insurance/Authorization Specialist below and select your interested title to get hiring information.
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