Authorization Specialist

The Authorization Specialist is responsible for obtaining authorization as required for all scheduled appointments and outgoing testing referrals. Team members provide clinicals to insurance companies and follow up on any pending or denied authorization. Team members have an understanding of insurance online portals and call centers, able to request authorizations across multiple venues. Team member will communicate directly with clinics, insurance companies and patients to provide updates, financial estimates, or self-pay quotes. This is a remote position.

• Education: High School or GED, required. 
• Experience: 2 Years experience in medical office or referrals, preferred.
• Additional Skills Required: 
  • Ability to productively work Remote.
  • Knowledge of medical office software for the following: updating patient demographic information and processing referrals and medical records.
  • Requires excellent verbal communication skills.
  • Must be able to work with changing priorities.
  • Requires excellent organizational, problem solving and critical thinking skills.
  • Must be able to interact with individuals of all cultures and levels of authority.
  • Experience handling PHI.
  • Must possess initiative while functioning as part of a remote team.
• Additional Skills/Requirements (preferred):
  • An understanding of CPT and ICD- CM coding processes.
  • Proficient with Insurance Authorization Portals.
  • Basic medical terminology required, knowledge can be obtained through formal classes or work experience. High level of working knowledge of EPIC systems. Detailed knowledge of multiple payors’ billing requirements. Familiarity of coding requirements for practice specialty.
  • Proficient in Microsoft office: Teams, Excel and Word.