Authorization Specialist

About the role

To provide general administrative and clinical office support. Acts as a liaison between patients and physicians.

Responsibilities

• Access referrals and authorizations via the internet; update and inquire regarding insurances not available online
• Obtain authorizations for CAT scans and other radiological procedures
• Validate patient insurance
• Contact patients concerning referrals or down payment for self-pay accounts
• Inform self-pay patients of UH financial aid applications and Medicaid applications
• Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers regarding referrals or issues obtaining referrals
• Ensure approvals for authorizations are documented in the EMR and CERNER systems
• Ensure all data are accurately documented in the EMR and scanned into CERNER

Requirements

• High School diploma or GED
• One (1) year of administrative experience in a medical office setting
• Prior pre-authorization or obtaining referrals process experience
• Strong organizational and communication skills (both verbal and written)
• Excellent typing skills and friendly telephone etiquette
• Microsoft Office proficiency

Qualifications

• EMR experience
• Experience with patient scheduling
• Experience with managed care companies
• Bilingual speaking ability

Physical Demands

This position is largely sedentary and requires the employee to remain stationary for a majority of the day. The employee is regularly required to communicate with patients, staff, and medical providers and must be able to exchange accurate information in these situations. Any additional physical demands will be outlined and provided by management.

Pay

$20.44 – $25.55 per hour

Schedule

Full Time, Monday – Friday, 8:00 AM – 5:00 PM