Revenue Authorization Specialist

Employment Type: Full time

Schedule

Monday - Friday 9:00am - 5:30pm

Location: Remote

About the Role

Responsible for all aspects of the authorization/pre-certification or referral process. Verifies insurance eligibility and contacts the payer to initiate pre-certification by providing supporting medical documentation, follows up with insurance on outcome of determination for all medical procedures and services in attempt to obtain a successful authorization. Specialty: Cardiology and Neurology.

Responsibilities

• Assists offices in resolving billing discrepancies and any other referral/authorization issues
• Contacts insurance companies via appropriate methods and obtains pre-certifications and authorizations
• Obtains urgent authorizations same day, next day
• Verifies correct procedural and diagnostic codes and insurance verification

Requirements

• High school diploma
• Must possess one (1) to three (3) years of experience with insurance referrals, prior authorizations, or other equivalent knowledge of professional revenue cycle
• Knowledge of medical terminology and procedures at the level needed to perform responsibilities

Benefits

• Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one
• Retirement savings account with employer match starting on day one
• Generous paid time off programs
• Employee recognition programs
• Tuition/professional development reimbursement starting on day one
• RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing
• Relocation assistance (geographic and position restrictions apply)
• Employee Referral Rewards program
• DailyPay - see how much you’ve made every day and transfer your money any time before payday
• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups