Documentation and Authorization Specialist

Overview

Symbria is looking to hire a Documentation and Authorization Specialist to their team. The primary responsibility is to obtain signatures from licensed practitioners and patients on required therapy documentation in accordance with established procedures and in compliance with state and federal regulations. This position also assists in obtaining insurance authorizations for therapy and populating approval data in designated systems, providing administrative support to the Symbria Rehab management team as needed.

Responsibilities

• P rocure physician signatures on therapy P lan of C are (POC), p hysician orders, and delayed certification forms per established procedures timely and accurately.
• Monitor progress of outstanding documents awaiting signature, contacting practitioners via telephone when necessary.
• Provide feedback to IT department regarding issues or optimization opportunities with the POC software.
• Research physician contact information to populate databases.
• P opulate signed POC information into NetHealth.
• Fax and/or call insurance plans with POC information to obtain authorization to treat for therapy.
• P opulate NetHealth /Alinea with insurance authorization approval information as obtained.
• Gather patient or responsible party signature or telephone approval on assignment of benefit forms.
• Provide procedural feedback to optimize departmental effectiveness.
• Communicate with Symbria staff, clients, physicians, and any other entity needed to complete assigned duties in a clear and concise manner.
• Any and all other duties as assigned.

Qualifications

• High School diploma or general education degree (GED).
• Ability to translate medical terminology and interpreting orders for use in authorization process; minimum one year.
• Knowledge of general administrative procedures and experience; minimum two years.
• Ability to exercise outstanding c lient service relations and professional verbal and written communication skills.
• Excellent time management skills with p roven ability to maintain organization, multi- task and pay attention to detail while working on several tasks simultaneously.
• Proficient use of computers and Microsoft Office: W ord , Excel, and Outlook; advanced experience with Microsoft Excel preferred.