Authorization Specialist

Overview

Authorization Specialist, Full-time
Location: On-Site Arlington Heights
Days/Hours: Monday- Friday, 8:30 am - 5:00 pm

Responsibilities

• Contact referring provider's office to request clinical notes and follow-up, track progress
• Absorb and assist with the rescheduling list, reschedule appointments as needed
• Keep track of any incoming faxes in Updox
• Absorb and assist with Auth Help Chats, Klara, and emails
• Work alongside the authorization department team and assist in other areas as needed
• Review chart documentation to ensure the patient meets medical policy guidelines
• Prioritize incoming authorization requests according to the urgency, tracking process and status
• Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations
• Confirm accuracy of CPT and ICD-10 diagnoses on the procedure order
• Review accounts with HMO plans and ensure that all required referrals are obtained from the referring provider prior to the appointment date
• Contact patients to discuss authorization status
• Perform all other duties as assigned

Qualifications

• Knowledge of authorization procedure and its direct impact on the practice’s revenue cycle
• Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
• Basic understanding of human anatomy, specifically musculoskeletal
• Proficient use of CPT and ICD-10 codes
• Plans and prioritizes to meet deadlines
• Excellent customer service skills; communicates clearly and effectively
• Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
• Solid, concise verbal and written communication skills
• Excellent computer skills
• Solid focus on detail, exceptional organizational and follow-through abilities
• Flexibility to adapt quickly to any disruptions or changes in the day
• Possess information research skills and accurate data entry skills

Requirements

• High School Diploma or GED
• 2 years of medical prior authorization experience preferred
• 2 years experience in a medical-related field required

Benefits

• Company paid time off and medical insurance
• Comprehensive Medical Insurance with multiple plan options and employer premium cost-sharing
• Access to a selection of ancillary benefits to customize their coverage through employee-paid options
• Dental Insurance
• Vision Insurance
• Life Insurance and AD&D
• Short and Long Term Disability Insurance
• Critical Illness Insurance
• Accident Insurance
• 401(k) with 4% company match, when eligible

Perks

• Paid on-site training
• Annual uniform allowance
• Competitive pay and growth opportunities
• Quarterly appreciation breakfast/lunches

Additional Information

Bright Light Medical Imaging is impacted by the use of Artificial Intelligence (AI) for recruiting from vendors such as Indeed, Glassdoor, Zip Recruiter and LinkedIn as a result of these vendor’s presentation of received resumes in their portal. All employment interviewing and hiring decisions are made by our employees. For questions contact our recruiting team at recruiting@brightlightimaging.com