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Restore First Health offers advanced care for chronic wounds, diabetes and metabolic disorders, non-invasive knee pain relief and physical therapy. We have multi-specialty practices in Georgia, New Jersey, Pennsylvania and Florida. Every member of our team plays an essential role to ensure we help make our patients better today and healthier tomorrow. Find your next career opportunity and make a difference doing what you love at Restore First Health.
The Authorization Specialist reviews insurance information and determines if any authorization or official confirmation is necessary before providing the medical services. The Authorization Specialist will also perform prior authorization responsibilities, which entail determining if the insurance company covers a given procedure or service. Additional duties are to compile paperwork related to the patient, assess their eligibility for services that Restore First Health provides its patients, communicate with the insurance provider, and track the progress of all referrals that require prior authorization. This position will report to the Senior Area Operations Manager and will cover all of Restore First Health’s service lines at all clinics.
Required Minimum Education: High School diploma or equivalent. Medical coding and/or authorization training or education preferred.
Required Minimum Experience: Two years of experience performing verification of benefits and prior authorizations for medical services.
Required Minimum Skills: Computer literacy and advanced data entry skills. Experience processing/managing referrals or authorization requests in a Utilization Management department for 2 years, demonstrating production and accuracy well above the minimum required goals, or an equivalent combination of education and experience, which would provide the required knowledge, skills and abilities may also be qualifying.
Full Time
$53k-65k (estimate)
04/18/2024
07/16/2024
The job skills required for Authorization Specialist include Billing, Prior Authorization, Coordination, 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.
03/30/2022: Rochester, NY
Complete authorizations and referrals for services, including appointments and procedures.
01/29/2022: Clarksville, TN
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
01/29/2022: York, PA
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.