About the job
Full-time, 40 Hours/Week
Monday to Friday, 8am - 4:30pm
Remote (Training will be onsite the first 90 days) - Applicant must reside in OH or PA.
Summary
The Authorization Specialist is responsible for verifying the accuracy of insurance coverage for scheduled services and obtaining payer authorization for same.
Responsibilities
- Is responsible for verifying the accuracy of insurance coverage for scheduled services.
- Obtains/secures referrals, authorization, and initiates pre certification of insurance.
- Maintains departmental defined timely and accuracy requirements.
- Identifies any patient responsible amounts due and refers to the Financial Counselor.
- Other duties as required.
Other Information
Technical Expertise
- Experience in a moderate to large healthcare hospital-based enterprise in a relevant position is required.
- Experience in all patient/customer service aspects that demonstrate excellence in service to patients and their families. Experience working with affiliated colleagues throughout the revenue cycle related to the authorization process is required.
- Experience working with physicians, providers and clinical staff related to the authorization process is preferred.
- Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
- Epic experience is preferred.
Education And Experience
- Education: High school diploma or equivalent is required.
- Certification: None.
- Years of relevant experience: 3 to 5 years is preferred.
- Years of relevant experience: 1 to 2 years is required, but may be waived if relevant industry experience can be demonstrated.
- Years of experience supervising: None.
Full Time
FTE: 1.000000
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