What are the responsibilities and job description for the Authorization Specialist position at AZ Pain Doctors?
The Authorization position is responsible for all insurance verifications and authorizations in relation to services provided at AZ Pain Doctors.
POSITION RESPONSIBILITIES:
* Verify insurance coverage for potential new patients and re-verify insurance coverage for existing patients.
* Update patient computerized accounts with corrected insurance information.
* Determine if authorization is required for ordered services.
* Maintain up to date information on various insurance companies and any relevant changes.
* Communicating important insurance data to appropriate staff.
* Reviews procedure requests for authorization needed based upon insurance standards while drawing upon experience and general knowledge. Reviews documentation or contacts the provider when necessary to supplement the order to prove medical necessity.
* Ensures appropriate documentation is available and complete before submitting the authorization to the insurance company to avoid repetitious submissions and denials.
* Submits all authorizations with correct CPT and diagnosis codes.
* Cross-references the procedure tasked against the doctor’s orders to ensure all services are submitted for correctly.
* Enters any authorization numbers and expiration dates into the task messages which are required for corresponding services.
* Work closely with the ACS/Procedure Center.
* Complete tasks by due dates.
* Work Clearance task group. Contact patients and PCP’s to assist in obtaining.
ESSENTIAL SKILLS AND EXPERIENCE:
* Previous experience in medical professional atmosphere.
* Oral and written communication skills a must.
* Familiar with CPT ® and ICD-10 coding concepts.
* Proficient with government and private insurance.
* Understanding of insurance websites and form fields for authorization submission.
* Knowledge of medical and insurance terminology, Aprima EMR, Excel and computer skills is a plus.
* High School Diploma or equivalent.
Job Type: Full-time
Job Type: Full-time
Pay: From $19.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Ability to Commute:
- Ste 110 Phoenix, AZ 85024 (Required)
Ability to Relocate:
- Ste 110 Phoenix, AZ 85024: Relocate before starting work (Required)
Work Location: In person
Salary : $19
