Authorization Specialist

Primary Duties and Responsibilities

• Verify patient’s insurance is accurate prior to investigating authorizations.
• Verify patient’s if authorization is needed for services.
• Attach authorization number to the patient’s account, unbilled claims and rebill claims where the number was missing from the initial claim.
• Follow up on required authorizations for billed claims that can be back dated.
• Work denials related to missing authorization to determine if the insurance needs to be added to the authorization list or if claim is still viable for payment.
• Reach out to facilities if authorization for our services can be covered by the facility’s authorization number.

Qualifications

• High School Diploma or equivalent
• 1 year experience in a healthcare billing setting
• Knowledge of insurance billing guidelines
• Prior experience with authorization and tools to obtain (ex. Insurance portals)
• Detail oriented, problem solver/analytical, flexible, and self-motivated
• Proficiency with Microsoft (Outlook, Office Word, and Excel)
• Organized, ability to multi-task in a fast-paced environment
• Works well independently and in a team setting
• Ability to type 45+ words per minute

Physical Requirements

• Talk, hear, and communicate with people over the telephone;
• Use hands and fingers to operate a computer and telephone;
• View computer screens for extended periods of time;
• Sit at a desk for extended periods of time;
• and Regular, predictable attendance.

Work Location Requirements

The job duties and functions for this position are performed 100% remotely.

Classification

Non-Exempt

Schedule

Day Shift, Monday-Friday

Pay Range

$19-24.00/hour