Job Summary:
Strong attention to detail, accuracy, follow-through, and independent problem-solving to ensure timely approvals, and successful patient care workflows. The specialist is expected to operate with accountability, urgency, and professionalism in a fast-paced clinical environment. Highly organized, effective communicator whose ability to multitask drives them to succeed in a high paced environment.
Duties/Responsibilities:
- Works effectively with insurance companies to get authorizations/referrals completed in a timely manner.
- Communicates effectively and routinely with clinical staff and patients on the status of the insurance authorizations, documents the authorization approval or denial. Follows up with staff and clinicians accordingly.
- Prioritizes workload and utilizes a system for tracking what is need for additional follow-up.
- Communicates effectively with insurance companies, outside facilities, coworkers and patients.
- Completes benefits investigations as needed.
- Navigate through the EMR to find the required patient medical and insurance information.
- Maintains confidentiality of patient records and follows HIPAA compliance rules laws.
- Shares call center, in basket and fax duties
- Participates in team meetings and other duties as assigned.
Required Skills/Abilities:
- Ability to work cooperatively and communicate effectively with others under stressful conditions.
- Excellent organizational, oral, and written communication skills.
- Exceptional attention to detail with emphasis on accuracy and efficiency.
- Takes personal responsibility for work.
- Flexibility, promptness, and desire to be a team player.
- Ability to multi-task, problem-solve, and prioritize tasks based on urgency.
- Knowledge of computer use and typing.
- Proficient with Microsoft Office or related software.
Education and Experience:
- Must have high school diploma or equivalent (GED)
- CPT and ICD-10 coding knowledge preferred
- Medical office experience preferred
Physical Requirements:
- Sitting for long periods
- Lifting requirements do not exceed 25 pounds
Hours a Week: Full Time
Compensation: $21.00 – $24.00 per hour, depending on experience and education.
- This job description is not intended to be an exhaustive list of all duties. Employees may perform other related duties as
assigned.
Apply Here: [email protected]
