Position Summary

Authorization Specialist is an important position that allows GetixHealth to help our clients resolve their outstanding accounts receivable which can lead to additional business, provide us the opportunity to employ more people and increase GetixHealth’s footprint in the healthcare sector. The Authorization Specialist must possess the ability to work independently, have excellent customer service and communication skills, patience, flexibility, and the ambition to achieve goals. They work in a fast-paced environment with multiple clients.

• Track correspondence through the process to ensure a timely response within service level agreements

• Facilitate and document communication with insurers

• Effectively and clearly document communication across multiple systems

• Answer incoming queries via the telephone, email, and hard copy

• Maintain confidentiality of all PHI (Oral, written or maintained electronically) ,and adhere to HIPAA guidelines

• Obtains and/or works with Hospital Departments to obtain authorizations in a timely manner

• Reviews the insurance verification and completes the authorization process within established time frames

• Receives coverage authorization and works diligently to meet established timelines

• Works closely with and supports team efforts to accomplish authorization/verification

• Requests authorization from insurance company/Hospital Department to provide specific services and parameters of care

Qualifications

• . Ability to identify problems and apply good judgment

• Minimum two years of experience in claims billing, authorizations, admissions for hospital/provider and coordination of benefits

• Proven ability to apply and communicate analytical and critical thinking to complex processes

• Intermediate computer skills, must possess ability to navigate multiple systems

• Basic Word and intermediate Excel and Outlook skills

• Must speak, read, and write in fluent English

This role profile is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position.

Work environment / physical requirements

Work environment is an office location. The position requires the dexterity to operate office equipment such as a personal computer, keyboard, mouse, and telephone.

Occasional lifting may be required up to 25 lbs.

Must be able to sit for extended periods of time with frequent bending and stooping.

Additional Notes

GetixHealth is an equal employment opportunity employer.