Authorization Specialist

Duties and Responsibilities

• Provide exceptional service every time.
• Maintain and exceed annual performance indicators as outlined by organizational leadership.
• Complete assigned tasks and worklists in a timely manner.
• Schedule and bill for equipment rentals on time and accurately.
• Obtain and update necessary medical documentation for patients.
• Stay informed on insurance guidelines and requirements.
• Ensure patient charts are accurate and up-to-date.
• Facilitate the process for obtaining prior authorizations for various insurance types.
• Work with providers and patients to understand and comply with payor coverage requirements.
• Process payment for services rendered.
• Evaluate and escalate patient accounts that do not meet insurance or provider guidelines.
• Troubleshoot equipment issues and refer to appropriate teams as needed.
• Verify and bill for returned or picked-up equipment.
• Participate in meetings as necessary.

Basic Qualifications

• Must be at least 18 years old.
• Eligible to work in the United States.
• Associate’s degree required or 2 years of relevant (authorization, claims, billing) experience.

Required Skills

• Effective problem-solving skills.
• Attentive listening and communication abilities.
• Decision-making abilities under pressure.
• Excellent customer service skills, especially in high-intensity situations.
• Strong attention to detail.
• Proficiency in computer applications, particularly Microsoft Office Suite.
• Ability to work independently and collaboratively.
• Compliance with internal and industry-imposed guidelines/regulations.

Competencies

• Customer Service Ethics.
• Organization Skills.
• Productivity.
• Results Driven.

Work Environment & Physical Demands

• Regularly communicates and conveys information.
• Assumes a stationary position for long periods.
• Routinely uses standard office equipment such as computers, phones, and printers/scanners.
• The work environment is usually moderate to loud.
• The job requires handling standard office equipment.
• The physical demands of the job include sitting for extended periods.