Top 21 Authorization specialist Jobs in Benton, Ar

Prior Authorization Specialist - Little Rock Diagnostic Clinic
ENGAGEMED —Little Rock, AR
- Full-time
- RN License
- Medical office experience
- Basic math
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13d
Authorizations Specialist
STAT Home Health —Little Rock, AR
- Full-time
- Home Health
- Communication skills
- Entry level
- Mileage reimbursement
- Disability insurance
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Billing Specialist
Growth Orthopedics —Bryant, AR
- Remote
- Surgery
- HIPAA
- Mid-level
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Billing Specialist
Access Group, Inc. —Little Rock, AR
- $21 an hour
- Clean driving record
- Word processing
- Computer literacy
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Clinic Coordinator - Main Clinic
ARKANSAS HEART HOSPITAL LLC —Little Rock, AR
- Weekends as needed
- Mid-level
- 3 years
- High school diploma or GED
2d
Patient Access Specialist
University of Arkansas —Little Rock, AR
- $18.99 an hour
- Full-time
- Internal Medicine
- Administrative experience
- High school diploma or GED
- Health insurance
- Dental insurance
Medical Billing Specialist
Premier Gastroenterology Associates —Little Rock, AR
- Full-time
- Medical office experience
- High school diploma or GED
- Medical terminology
Revenue Cycle Reimbursement Specialist
Growth Orthopedics —Bryant, AR
- Microsoft Outlook
- Research
- Mid-level
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Medical Billing Specialist
Medic Sleep Care —Little Rock, AR
- 8 hour shift
- Microsoft Word
- High school diploma or GED
- Data entry
- Health insurance
- Dental insurance
Quick Apply
Customer Contact Center Specialist I
Simmons Bank —Little Rock, AR
- Full-time
- Computer literacy
- Writing skills
- High school diploma or GED
Quick Apply
10d
Call Center Consumer Loan Specialist
Bank OZK —Little Rock, AR
- Weekends as needed
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Dental insurance
- Paid time off
Access Coordinator II - Neurosciences
University of Arkansas —Little Rock, AR
- $16.88 an hour
- Full-time
- Mid-level
- Microsoft Office
- 3 years
- Health insurance
- Dental insurance
Field Reimbursement Specialist
Syneos Health Commercial Solutions —Little Rock, AR
- Up to 50% travel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
6d
Field Reimbursement Specialist
サイネオス・ヘルス —Little Rock, AR
- Up to 50% travel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
6d
Inpatient Coding Auditor
Huron Managed Services LLC —Little Rock, AR
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
11d

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Authorizations Specialist
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Prior Authorization Specialist - Little Rock Diagnostic Clinic

ENGAGEMED -
Little Rock, AR

Quick Apply

Job Details

Full-time
13 days ago

Qualifications

Medicare
Spreadsheets
Medical office experience
Basic math
ICD-10
Database management
Pre-authorization review for utilization management
Medicare regulations
Desktop applications
Data interpretation
Productivity software
Medical billing regulations compliance
Medical terminology

Full Job Description

Position Title: Prior Authorization Specialist

Department: Clinical

FLSA Status: Non-Exempt

Reports To: Manager

I. Job Summary / Job Purpose

The Prior Authorization Specialist is responsible for obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival for a procedure. To perform authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions. Need to demonstrate, through actions, a consistent performance standard of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities including pre-authorizations, notifications, edits, denials, etc. The Authorization Specialist shall demonstrate the philosophy and core values of EngageMED in the performance of duties.

II. Key Responsibilities

Review demographic, billing and insurance information for accuracy.
Verify insurance eligibility. Make necessary corrections.
Obtain Precertification and authorization.
Communicate detailed policy benefits to patients.
Respond to phone calls and correspondence relating to patient accounts.
Professional and Positive communication skills internally and externally
Work under pressure and resolve problems
Ability to navigate insurance carrier websites
Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans to pre-authorize insurance plan determined procedures to avoid financial penalties to patient, provider and facility.
Utilizes payor-specific approved criteria or regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, and drugs in terms of type, frequency, extent, site and duration, and considered effective for the patient's illness, injury, or disease.
Provides referral/pre-notification/authorization services timely to avoid unnecessary delays in treatment and reduce excessive nonclinical administrative time required of providers. Submits pertinent demographic and supporting clinical data to payor to request approval for services being rendered

III. EngageMED Core Expectations

At EngageMED, we expect all our employees to live the values of Reverence, Integrity, Compassion and Excellence at work by:

Honoring and caring for the dignity of all persons in mind, body, and spirit
Ensuring the highest quality of care for those we serve
Working together as a team to achieve our goals
Improving continuously by listening, and asking for and responding to feedback
Seeking new and better ways to meet the needs of those we serve
Using our resources wisely
Understanding how each of our roles contributes to the success of EngageMED.

IV. Core Job Competencies

Core EngageMED Behaviors: The following behaviors have been identified as critical to all staff roles at EngageMED:

Teamwork Orientation: works cooperatively & collaboratively with others toward the accomplishment of shared goals.
Service Orientation: desire to serve and focus one’s efforts on discovering and meeting the needs of internal and external customers.
Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.
Learning and Growth: has a commitment to continuous professional and organizational learning
Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.

Role-Specific Behaviors: these additional behaviors are necessary in the role:

Knowledge of clinic referral and scheduling processes and billing/authorization requirements.
Knowledge of federal and state pay requirements, including Medicare, DSHS, HMO/PPO Contracts.
Ability to communicate effectively and to maintain strict confidentiality.
Ability to respond to people and issues promptly and appropriately, to resolve problems.
A team player who handles multiple projects simultaneously in a fast paced environment.
Possess a strong work ethic and a high level of professionalism.

Skills, Knowledge or Abilities critical to this role:

Language Ability: Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to common inquiries or complaints from groups of managers, clients, customers, and the general public.
Math Ability: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills: Must be proficient with the Microsoft Office Suite, Internet navigation, database management, desktop publishing, spreadsheet, and graphic presentation packages.

V. Job Requirements / Qualifications

a. Education / Accreditation / Licensure (required & preferred):

LPN or RN license required.

b. Experience (required and preferred):

Minimum of two years previous hospital or medical office experience in billing, pre-certification and authorization.
Extensive knowledge of authorization processes, insurance guidelines, third party payors, and reimbursement practices
Knowledge and understanding of billing practices
Knowledge and interpretation of medical terminology, ICD-10, and CPT codes
Must be proficient in Microsoft Office applications
Excellent communication and interpersonal skills
Ability to analyze data and use independent judgment

VI. Disclaimers

This job description reflects EngageMED’s assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.
Critical features of this job are listed above. They may be subject to change at any time due to reasonable accommodation or other reasons.

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Refine Your Search

authorization specialist jobs in benton, ar

Prior Authorization Specialist - Little Rock Diagnostic Clinic

Authorizations Specialist

Billing Specialist

Billing Specialist

Clinic Coordinator - Main Clinic

Patient Access Specialist

Medical Billing Specialist

Revenue Cycle Reimbursement Specialist

Medical Billing Specialist

Customer Contact Center Specialist I

Call Center Consumer Loan Specialist

Access Coordinator II - Neurosciences

Field Reimbursement Specialist

Field Reimbursement Specialist

Inpatient Coding Auditor

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