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Insurance and Authorization SpecialistOzark, MO
Come work for the healthcare agency with the highest happiness rating on Indeed! (4.8 / 5) Haven is currently looking for an experienced Insurance and Authorization Specialist to make a difference in our community.
Haven is family-owned and operated by local clinicians who understand your passion to help others and have insight into your needs as a professional.
Job Summary :
We are looking for an in-office Insurance and Authorization Specialist who will work with Intake and Agency teammates and any external authorization and verification vendors to ensure our processes and workflows are executed efficiently so that our patient goals are achieved and revenue maximized.
You will guarantee internal and external team and customer satisfaction through great communication, data efficiency, and capturing reimbursement.
Duties and Responsibilities include but are not limited to :
Accurate and timely completion of insurance verifications by contacting the provided insurance via phone, fax, or online portal to obtain benefits, eligibility, and authorization information.
Address and respond to authorization or verification-related queries.Timely submission of authorization requests while following payer-specific guidelines.
Ensure all authorization and verification-related denials are addressed timely and accurately, providing denial prevention feedback to Intake and agency as required.
Work with billing contractors to resolve billing issues.Complete medical records requests.Assist in ADR's and denial appeals.
Complete monthly eligibility verification and partner with the Haven team to ensure follow-up is completed for ineligible results.
Qualifications, Knowledge, Skills, and Abilities :
Must have experience with Home Health Intake and / or insurance verificationDemonstrate flexibility in responding to priorities and organizational changeAbility to work under time constraints and follow through on assignmentsMinimum of 2 years' experience with medical insurance billing and authorizations requiredProficient multi-tasker and efficient at prioritizing timelinesCustomer service experience with good written and verbal communication skillsSolution-focused mindset, great critical thinking and analytical skills
Last updated : 2024-05-03
Full Time
$51k-62k (estimate)
05/04/2024
05/27/2024
mediabistro.com
New York, NY
100 - 200
The job skills required for Authorization specialist include Flexibility, Billing, Critical Thinking, Verbal Communication, 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.
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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.