Medical Authorizations Specialist

PedIM Healthcare - Crystal River, FL (30+ days ago)


Job Summary

Accurately obtains pre-authorizations for medical visits and procedures to ensure payment for services rendered.

Responsibilities and Duties

  • Review provider’s schedules to identify required authorization for office visits, procedures, durable medical equipment, or medication.
  • Responsible for obtaining all insurance authorizations either online or by phone.
  • Identifies and resolves authorization queries/problems.
  • Communicates with payees to answer questions and provide additional supporting documentation for authorizations.
  • Performs additional duties including but not limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
  • Performs other duties as assigned by supervisor.

Qualifications and Skills

  • High school to Associates degree.
  • Excellent written and oral communication skills.
  • Experience with EHR systems (eClinic Works a plus)
  • Strong organizational, problem-solving, and analytical skills.
  • Ability to manage priorities and workflow.
  • Demonstrated ability to calculate figures and amounts such as discounts, interest, commissions, and percentages.

PHYSICAL REQUIREMENTS:

While performing the duties of this job, the employee is frequently required to do the following:

  • Perform some repetitive motion activities.
  • Sit for long periods of time.

Benefits

Medical/Dental/Vision benefits after 60 days

PTO

Job Type: Full-time

Education:

  • High school or equivalent