2 Jobs in Peoria, AZ
Professional Partners - Mortgage Brokers is Hiring an Authorization Specialist Near Peoria, AZ
Reports To: Eligibility and Authorization Specialist Coordinator
Principal Duties And Responsibilities
- Responsible for effective and efficient verification and authorizations of all patients’ benefits.
- Utilization of electronic verification/eligibility technology or contacting insurance companies to verify and/or obtain patient eligibility and benefits.
- Verify existing patient insurance coverage and update the information in the practice management software system.
- Responsible for obtaining all referrals and authorizations for procedures and services, as required.
- Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
- Address rejected claims related to patient eligibility, authorization, or demographics.
- Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage.
- Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
- Develops and maintains effective relationships with the patients ensuring all patient demographic and insurance information is obtained and current.
- Maintain up-to-date knowledge of specific clinical services, registration, and pre-registration requirements for all departments.
- Maintain awareness of federal and state health care legislation and regulations, OSHA, and HIPAA.
- Proactively identifies and leads department process improvement opportunities.
- Excellent organizational skills and the ability to multi-task.
- Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.
- Establish and maintain effective working relationships with patients, insurance companies, and staff.
- Strong written and oral communication skills.
- Knowledge and skills in working with computerized billing systems including practice management software and EMR.
- Must adhere to all HIPAA guidelines and regulations.
- Knowledge of medical insurance and authorization processes
- Knowledge of medical terminology and experience working in a healthcare or insurance environment.
- Knowledge of organizational policies, procedures, and systems.
- Ability to document electronically and accurately.
- Use appropriate guidelines for releasing information.
Experience
- 2 years of experience performing insurance verification or working with medical insurance programs.
- Experience with eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.
Job Summary
Full Time
$86k-106k (estimate)
05/24/2024
07/22/2024
The job skills required for Authorization Specialist include Oral Communication, Prior Authorization, 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.
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