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Authorization Specialist
$55k-68k (estimate)
Full Time | Social & Legal Services 2 Months Ago
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Southwestern Human Services is Hiring an Authorization Specialist Near Pittsburgh, PA

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:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Weekly day range:

  • Monday to Friday
  • No weekends

Ability to Relocate:

  • Pittsburgh, PA 15241: Relocate before starting work (Required)

Work Location: In person

Job Summary

JOB TYPE

Full Time

INDUSTRY

Social & Legal Services

SALARY

$55k-68k (estimate)

POST DATE

03/31/2024

EXPIRATION DATE

07/27/2024

WEBSITE

shs-pgh.org

HEADQUARTERS

PITTSBURGH, PA

SIZE

50 - 100

TYPE

Private

CEO

SUZANNE SCHOLLAERT

REVENUE

$10M - $50M

INDUSTRY

Social & Legal Services

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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.

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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.

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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.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College