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FASTMD Medical Group is Hiring an Authorization Specialist Near Odessa, FL
- Obtaining required referrals and authorizations prior to services via phone, fax, on-line, etc.
- Maintain working knowledge of LCD's and other authorization guidelines. Use this knowledge to proactively anticipate denials or delays in authorization and coordinate with medical team to address and educate on these details.
- Review office schedules daily for patients requiring authorizations, referrals, pre-notification, and insurance eligibility verification.
- Obtaining retro-authorizations or updating existing authorizations in a timely manner.
- Inputting/updating authorization information into EHR.
- Updates the patient account with details of the insurance verification.
- Identifies and documents applicable deductibles, co-pays, and self-pay accounts.
- Notifying the appropriate staff members if treatment or service is denied.
- Coordinating with the Financial Counselor necessary information for patient discussions.
- Working with the provider if a peer-to-peer review is necessary or requested by the payer.
- Keeping up to date on third party payer authorization requirement information.
- Re-verify all patients monthly for active, current insurance.
- Assist Collection staff with account questions when presented.
- Participates in professional development efforts to ensure currency in health care practices and trends.
- Perform other duties as assigned.
- Knowledge of clinic policies and procedures.
- Knowledge of managed care contracts and utilization.
- Knowledge of computer systems, programs and spreadsheet applications.
- Knowledge of medical terminology.
- Knowledge of CPT/ICD-9 & ICD-10
- Skill in gathering and reporting claim information.
- Skill in solving utilization problems.
- Skill in written and verbal communication and customer relations.
Job Summary
Full Time
$82k-101k (estimate)
04/27/2024
06/26/2024
The job skills required for Authorization Specialist include Health Care, Customer Service, Professional Development, Prior Authorization, 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.
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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