Authorization Specialist
Authorization Specialist
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1 Vacancy
Job Description
Overview
THIS JOB AD TEMPLATE WILL BE COMPLETED BY YOUR RECRUITING PROFESSIONAL AT TWH - PLEASE COMPLETE MANAGERS NOTES FOR CUSTOMIZATION SUGGESTIONS
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works for the practice under the oversight of the practice manager. Daily tasks may include obtaining authorizations for (but not limited to) procedures surgeries medications and imaging. This role will also actively interact with medical staff and patients.
Responsibilities
Key areas of responsibility:
The following duties and responsibilities generally reflect the expectations of this job but are not intended to be all inclusive.
- Authorize scheduled procedures to include surgeries medications imaging and other items needing authorization with insurance. Verify eligibility and benefits for all procedure codes.
- Pre-collect payment for surgeries and other procedures as required by department
- Document work processes as required
- Coordinate processes and route all paperwork as required to meet physician and facility requirements
- Must be able to recognize and respond appropriately to urgent /emergent situations.
- Demonstrate courtesy and helpfulness toward patients and / or their families.
- Ensure efficient telephone communication when required
- Work as a team member within the authorizations department and all other departments
- Performs other related duties as assigned.
Qualifications
Required Knowledge Skills and Abilities:
- 3 years as Authorization Specialist preferred.
- Medical terminology ICD-10 and CPT coding knowledge
- Knowledge of contracted insurance plans and procedures
- Solid computer and phone skills
- Strong organizational and interpersonal skills
- Ability to prioritize responsibilities and multi-task efficiently and effectively
Physical Requirements:
- Physical requirements can vary. These must be reviewed with management. However in general the position requires the following physical activities:
- Ability to lift minimum of 2 pounds to a maximum of 20 pounds unassisted; able to sit stand stoop walk stretch reach frequently; moderate range of body motions.
- Prolonged periods of sitting at a desk and working on a computer.
Whats in it for you
As a full-time team member you will have access to a range of benefits to include: Health Care Plan (medical dental & vision) Retirement Plan with a generous company match Life Insurance Paid Time Off (because we work hard and play hard) Short-Term (at no cost to you) and Long-Term to mention a team of smart passionate and friendly people.
Why Together Womens Health (TWH)
Because we do things a bit differently here. Were a rapidly growing network of OBGYN private practice groups and while its important to know what we are its more important to know what drives us - our mission to improve the lives of our healthcare partners and their patients. Our actions speak louder than those words. We invest in our talented teams and our connection to our core values last longer than a quick glance through the employee handbook - we live them every day! TWH is a place where careers thrive for those who believe the right team can achieve anything.
Together Womens Health (TWH) is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Reasonable Accommodations:
Applicants with disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act and certain state or local laws. If you need a reasonable accommodation to perform the essential functions of a position please send an e-mail to and let us know the nature of your request and your contact information.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
