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Job Overview:
We are seeking a detail-oriented and organized Authorization Specialist to join our team. As an Authorization Specialist, you will play a crucial role in ensuring that medical procedures and services are properly authorized and approved by insurance companies. Your knowledge of insurance verification and office administration will be essential in this role.
Duties:
- Obtain necessary authorizations for medical procedures and services
- Review medical records and documentation to ensure accuracy and completeness
- Assign appropriate medical codes (ICD-9, ICD-10) for billing purposes
- Communicate with insurance companies/ managed care organizations to resolve any authorization or billing issues
- Maintain patient confidentiality and adhere to HIPAA regulations
- Collaborate with healthcare providers and office staff to ensure smooth authorization processes
Qualifications:
- Previous experience working in a medical office setting is preferred, preferably in the Mental Health field.
- Knowledge in medical terminology and coding systems (ICD-9, ICD-10)
- Familiarity with insurance verification processes and requirements
- Strong attention to detail and accuracy in data entry and documentation
- Excellent communication skills, both written and verbal
- Ability to prioritize tasks and work efficiently in a fast-paced environment
- Knowledge of HIPAA regulations and commitment to patient privacy
Job Type: Full-time
Pay: $17.50 - $21.00 per hour
Expected hours: 40 per week
Benefits:
Weekly day range:
Ability to Relocate:
Work Location: In person
Full Time
Social & Legal Services
$55k-68k (estimate)
03/31/2024
07/27/2024
shs-pgh.org
PITTSBURGH, PA
50 - 100
Private
SUZANNE SCHOLLAERT
$10M - $50M
Social & Legal Services
The job skills required for Authorization Specialist include Confidentiality, Billing, Mental Health, Communication Skills, Attention to Detail, 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.
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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.
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Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order
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Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
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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.
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Give credence to customer complaints.
02/08/2022: Salem, OR
Create a quick reference guide of your payor contacts
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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.
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Step 3: View the best colleges and universities for Authorization Specialist.