As an Authorization Specialist you will be responsible for obtaining prior authorizations, creating patient financial responsibility forms, creating the ASC financial collections worksheet and collecting patient financial responsibility prior to surgery. Our Authorization Specialists provide systematic process mapping and optimization to ensure maximum efficiency and effectiveness in work flows and prompt professional communication with internal and external stakeholders striving to achieve the highest level of customer service.
Schedule 8:00am - 5:00pm, Monday through Friday
What you will be doing
Establishing communication and working closely with the Surgery Scheduling Team
Reviewing chart documentation to ensure patients meet insurance guidelines
Obtaining any prior approvals or surgical/injection/solution authorizations needed from insurance company
Request, follow up, and secure prior authorizations prior to services being performed.
Communicating with MD/Scribe/Surgery Scheduler if Authorization is denied and steps/options to follow- initiate appeals when needed
Answering all telephone inquiries from patients regarding surgery authorization or other concerns
Verifying medical benefits for surgery and injections
Discussing benefits and costs of non-covered benefits with patients, create an estimated out of pocket worksheet. Secure any out of pocket financial requirements from patient
Interfacing with our Billing Department as needed
Other duties as assigned
What you know
Required
High school diploma or GED
Excellent written and verbal communication skills
Able to multi-task and meet deadlines
Desired
Experience with medical billing, coding and/or authorizations
Previous ophthalmology, healthcare or customer service experience
What you will receive
Competitive wages
Robust benefit package including medical, dental, life and disability (short- and long-term) insurance
Generous paid time off (PTO) program
Seven (7) company paid holidays
401(k) retirement plan with company match
An organization focused on People, Passion, Purpose and Progress
Inspirational culture
Numbers & Facts
Location
Brecksville, OH
Skills
Billingunmatched
Communication Skillsunmatched
Credit and Collectionsunmatched
Customer Support/Serviceunmatched
Documentationunmatched
Financial Managementunmatched
Health Planunmatched
Healthcare Customer Serviceunmatched
High School Diplomaunmatched
Injectionsunmatched
Insuranceunmatched
Medical Billingunmatched
Medical Codingunmatched
Multitaskingunmatched
Ophthalmologyunmatched
Patient Care Authorizationsunmatched
Presentation/Verbal Skillsunmatched
Process Improvementunmatched
Schedule Developmentunmatched
Surgical Proceduresunmatched
Telephone Skillsunmatched
Time Managementunmatched
Writing Skillsunmatched
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