Authorization Specialist (Part-time)

Billings Clinic

  • Billings, MT
  • 30+ days ago
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    Skills

    • Adjudicationunmatched
    • Anatomyunmatched
    • Health Insuranceunmatched
    • Healthcare Providersunmatched
    • High School Diplomaunmatched
    • Insuranceunmatched
    • Insurance Claimsunmatched
    • Medical Billingunmatched
    • Medical Terminologyunmatched
    • Nursingunmatched
    • Physiologyunmatched
    • Reimbursementunmatched

    Description

    PURPOSE/DISTINGUISHING CHARACTERISTICS

    Responsible for performing the authorization functions with insurance carriers. Coordinate with/educate physicians, nursing staff and other health care providers on the authorization process and requirements. Works as a patient advocate and functions as a liaison between the patient, staff and payer to answer reimbursement questions and avoid insurance delays. Tracks, documents, and monitors authorizations. Implements check and balance systems to ensure timely compliance.

    MINIMUM QUALIFICATIONS

    High school graduate or equivalent

    One (1) year of medical insurance claims experience through patient accounts billing or claims adjudication

    Demonstrated knowledge of medical terminology and basic anatomy/physiology

    Demonstrated computer skills

    Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

    Numbers & Facts

    LocationBillings, MT

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