Authorization Specialist
Healing Partners
- New York, New York, United States
- New York, New York, United States
About
Reports to: Revenue Cycle Manager
Date: June, 2024
Summary/Overview The Authorization Specialist is responsible for obtaining, documenting, and attaching authorizations to encounters prior to billing for E&M’s and procedures. Reporting directly to the Revenue Cycle Manager, the Authorization Specialist will assist with revenue and billing operations within their scope.
Primary Duties and Responsibilities
Verify patient’s insurance is accurate prior to investigating authorizations.
Verify patient’s if authorization is needed for services.
Attach authorization number to the patient’s account, unbilled claims and rebill claims where the number was missing from the initial claim.
Follow up on required authorizations for billed claims that can be back dated.
Work denials related to missing authorization to determine if the insurance needs to be added to the authorization list or if claim is still viable for payment.
Reach out to facilities if authorization for our services can be covered by the facility’s authorization number.
Education & Experience
High School Diploma or equivalent
1 year experience in a healthcare billing setting
Qualifications
Knowledge of insurance billing guidelines
Prior experience with authorization and tools to obtain (ex. Insurance portals)
Detail oriented, problem solver/analytical, flexible, and self‑motivated
Proficiency with Microsoft (Outlook, Office Word, and Excel)
Organized, ability to multi‑task in a fast‑paced environment
Works well independently and in a team setting
Ability to type 45+ words per minute
Physical Requirements
Talk, hear, and communicate with people over the telephone;
Use hands and fingers to operate a computer and telephone;
View computer screens for extended periods of time;
Sit at a desk for extended periods of time; and
Regular, predictable attendance.
Work Location Requirements
The job duties and functions for this position are performed 100% remotely.
Classification: Non-Exempt
Schedule: Day Shift, Monday-Friday
Pay Range: $19-24.00/hour
Healing Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.
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Languages
- English
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