Authorization Specialist

Bright Light Medical Imaging is a physician-led multi-location imaging center where professionals dont just workthey belong. We foster a supportive team-driven culture that feels like family where every member is valued respected and empowered to grow. With cutting-edge technology opportunities for advancement and a workplace built on integrity and compassion our team loves coming to work each day. Employees here arent just colleagues; theyre part of something biggera community that truly cares. If youre looking for a career where your skills are valued your contributions matter and you feel at home Bright Light is the place for you.

WHAT WE ARE LOOKING FOR:

Authorization Specialist Full-time

Location: On- Site Arlington Heights

Days/Hours: Monday- Friday 9:00 AM to 5:30 PM

OVERVIEW OF KEY RESPONSIBILITES:

• Contact referring providers office to request clinical notes and follow-up track progress
  
• Assist with the rescheduling list reschedule appointments as needed
• Keep track of any incoming faxes in Updox
  
• Assist with Auth Help Chats Klara and emails
• Working along with the authorization department team and assisting in other areas as needed
  
• Review chart documentation to ensure the patient meets medical policy guidelines
• Prioritize incoming authorization requests according to the urgency tracking process and status
• Obtain authorization via the payer website or by phone and follow up regularly on pending cases
• Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations
• Confirm accuracy of CPT and ICD-10 diagnoses on the procedure order
• Review accounts with HMO plans and ensure that all required referrals are obtained from the referring provider prior to the appointment date
• Contact patients to discuss authorization status
• Perform all other duties as assigned

QUALITIES YOU SHOULD POSSESS:

• Knowledge of authorization procedure and its direct impact on the practices revenue cycle
• Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
• Basic understanding of human anatomy specifically musculoskeletal
• Proficient use of CPT and ICD-10 codes
  
• Plans and prioritizes to meet deadlines
• Excellent customer service skills; communicates clearly and effectively
• Ability to multitask and remain focused while managing a high-volume time-sensitive workload
  
• Solid concise verbal and written communication skills
• Excellent computer skills
• Highly focused on detail exceptional organizational and follow-through abilities
• Flexibility to adapt quickly to any disruptions or changes in the day
• Ability to be resourceful and self-reliant to take initiative making decisions when issues arise
  
• Possess information research skills and accurate data entry skills
  
  

EDUCATION EXPERIENCE & REQUIREMENTS:

• High School Diploma or GED
• 2 years of medical prior authorization experience preferred
• 2 years experience in a medical-related field required

BENEFITS & TOTAL REWARDS:

Company paid time off and medical insurance:

• Paid time off Vacation plus 6 designated Holidays
• Comprehensive Medical Insurance with multiple plan options and employer premium cost-sharing
  
  

Employees have access to a selection of ancillary benefits to customize their coverage through employee-paid options:

• Dental Insurance
• Vision Insurance
• Life Insurance and AD&D
• Short and Long Term Disability Insurance
• Critical Illness Insurance
• Accident Insurance
• 401(k) with 4% company match when eligible

Additional Perks:

• Paid on-site training
• Annual uniform allowance
• Competitive pay and growth opportunities
• Quarterly appreciation breakfast/ lunches
  

Bright Light Medical Imaging is impacted by the use of Artificial Intelligence (AI) for recruiting from vendors such as Indeed Glassdoor Zip Recruiter and LinkedIn as a result of these vendors presentation of received resumes in their portal. All employment interviewing and hiring decisions are made by our employees. For questions contact our recruiting team at

Required Experience:

Manager