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This is a joint office with Vascular and Orthopedic surgeons. Responsible for verifying benefits prior to procedures and notifying the patient of financial responsibility. Maintains information in an organized manner and obtains pre-authorization for procedures as required by the Insurance Companies.
Reviews financial obligation with patient and family member. Responsible for sending proper documentation to billing department. Prequalifies third party coverage of scheduled procedure. Assists in the collection and follow-up of patient survey responses.
Qualifications
High School graduate required
At least one year of working preauthorizations and approvals for procedures required
Must be bilingual (English and Spanish)
Requires frequent and constant judgement for timely response to patient questions and concerns
Requires language skills adequate for effective written and interpersonal communication in English and Spanish
Require visual and auditory acuity adequate for frequent use of computers and occasional use of other business office equipment
Ability to sit for long periods and to perform desk and office activities
Responsibilities
Responsible for verifying benefits prior to procedures and notifying the patient of financial responsibility
Maintains information in an organized manner and obtains pre-authorization for procedures as required by the Insurance Companies
Reviews financial obligation with patient and family member
Responsible for sending proper documentation to billing department
Prequalifies third party coverage of scheduled procedure
Assists in the collection and follow-up of patient survey responses
Maintains current authorizations for all patients
Communicates and updates office coordinators with extension / termed patients
Responsible for the authorization system
Reduces authorization denials
Reports regularly to the team leader about the status of current projects or workflow
Maintains a 4 hour turnaround when submitting for authorizations
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Benefits:
Weekly day range:
Experience:
Work Location: In person
Full Time
$88k-108k (estimate)
06/12/2024
10/08/2024
The job skills required for Authorization Specialist include Billing, 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.