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1 Insurance Authorization Specialist Job in Reston, VA

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Virginia Spine Institute
Reston, VA | Full Time
$44k-54k (estimate)
2 Months Ago
Insurance Authorization Specialist
$44k-54k (estimate)
Full Time 2 Months Ago
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Virginia Spine Institute is Hiring an Insurance Authorization Specialist Near Reston, VA

Benefits

MEDICAL, DENTAL AND VISION BENEFITS

All full-time employees are eligible to participate in our employer-sponsored medical plans. Coverage is available to employees and their families with VSI paying 80% of the premium for individuals.

HEALTH REIMBURSEMENT & FLEXIBLE SPENDING

All medical plan participants are provided with Health Reimbursement Accounts for eligible, deductible-related expenses. HRAs are funded at $2,000 for an individual and $4,000 for a family. Medical and Dependent Care Flexible Spending Accounts are also available allowing employees to use pre-tax dollars for qualifying expenses.

401K WITH EMPLOYER MATCH

Employees are eligible to participate the first of the month following date of hire with options for both Traditional and Roth 401ks and an employer match of up to 3%.

ANCILLARY BENEFITS

Employer-paid Group Term Life Insurance and Short Term Disability Insurance are provided to all full-time employees. Supplemental Life Insurance and Long-Term Disability Insurance are also available.

PAID TIME OFF AND COMPANY HOLIDAYS

All full-time employees are eligible for Paid Time Off along with paid holidays. PTO accruals for new hires start at 15 days a year and increase with additional years of service.

BEST PLACE TO WORK

VSI provides a workplace that is highly regarded in the DC Metro region. The award-winning environment, teamwork, and culture make our practice a best place to work.

The Insurance Authorization Specialist is responsible for obtaining prior authorization for various medical procedures. This position requires a candidate with a strong medical billing background as well as exceptional customer service skills and phone etiquette. This full-time position is based in our office in Reston, Virginia, and is not eligible for telework.

ESSENTIAL JOB RESPONSIBILITIES

  • Responsible for facilitating prior authorization for a variety of services (surgery, injections, medications, imaging, etc.) in a timely manner and working efficiently to facilitate a final approval.
  • Ensures all pertinent medical documentation is accurate and complete prior to authorization submission.
  • Tracks and monitors prior authorization status throughout the insurance approval process.
  • Utilizes a thorough working knowledge of insurance plans and medical policies to complete prior authorization requirements.
  • Coordinates with clinical staff during the prior authorization process to include notification of prior authorization approvals and denials in addition to facilitating appeals and peer-to-peer reviews with the payer.
  • Responsible for insurance benefits verification.
  • Works directly with the Director of Billing to identify trends in denials and opportunities for improvement in the authorization process.
  • Provides superior customer service when communicating with patients to resolve all inquiries regarding insurance authorization requirements.

SKILLS/QUALIFICATIONS/ATTRIBUTES:

  • Bachelor’s degree in business or related field
  • 1-3 years of billing or authorization experience in the healthcare industry
  • Solution oriented problem solver, helpful and strong organizational skills
  • Strong multitasking ability; detail oriented
  • Proficient with oral and written communication, articulate, professional and friendly

Interested candidates should forward a cover letter and resume to joinourteam@spinemd.com.

Email to Apply: joinourteam@spinemd.com

Job Summary

JOB TYPE

Full Time

SALARY

$44k-54k (estimate)

POST DATE

03/28/2023

EXPIRATION DATE

05/18/2024

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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.