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Authorization Specialist

Apply Job ID 14044991 Date posted 11/08/2019

The Authorization Specialist is responsible for:

  • Identifies all appointments and procedures for assigned departments that require authorization by monitoring the schedules, system reports, and dashboards.
  • Identifies the referral and authorization requirements of the patients' insurance plans by using various on-line resources according to department workflows.
  • Verifies insurance eligibility and benefits, and updates the patient's insurance information as necessary.
  • Completes referrals and prior authorizations in a timely manner according to department guidelines and workflows.
  • Maintains patient confidentiality
  • Selecting the correct insurance package in athenaCollector
  • Updating authorizations and claims to reflect the new insurance package
  • Other job duties as required.

Requirements:

  • High School Graduate/GED required.
  • Diploma from a vocational/technical school preferred.
  • 0-1 years experience required.
  • 2-4 years experience preferred.
  • Ability to communicate in English, both orally and in writing required.
  • Excellent organizational and customer service skills required.
  • Ability to handle multiple tasks and to work under pressure preferred.
  • Familiar with JCAHO standards and other regulatory requirements required.
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