Top 31 Authorization specialist Jobs in Birmingham, Al

Authorization & Verification Specialist - Acute Team
ContinuumRx —Birmingham, AL
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
Prior Authorization
Urology Centers of Alabama —Birmingham, AL
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
Health Information Specialist I - Birmingham
Datavant —Birmingham, AL
- Overtime
- Microsoft Excel
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Access Specialist - Days
Grandview Medical Center —Birmingham, AL
- Full-time
- Entry level
- Under 1 year
- Time management
Quick Apply
Intake Specialist
California Specialty Pharmacy,LLC —Birmingham, AL
- Full-time
- Microsoft Word
- Microsoft Excel
- Data entry
Quick Apply
Access Specialist - Evenings
Grandview Medical Center —Birmingham, AL
- Full-time
- Computer skills
- ER
- Business Administration
Quick Apply
Pre-Certification Specialist - TKC Infusion Clinic - Part-Time AM (920)
UAB Medicine —Birmingham, AL
- $15.00 - $24.40 an hour
- 12 hour shift
- High school diploma or GED
- Clinic
- 1 year
- Paid parental leave
- Tuition reimbursement
14d
Access Specialist
Grandview Medical Center —Birmingham, AL
- Full-time
- Entry level
- Under 1 year
- Time management
Quick Apply
3d
Front Office Specialist
EyeCare Associates —Hoover, AL
- Background check
- Microsoft Outlook
- HIPAA
Quick Apply
Team Lead, Qualifications ($23.85 – $29.81)
Synapse Health —Hoover, AL
- $23.85 - $29.81 an hour
- Analysis skills
- Mentoring
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
13d
Pre-Certification Specialist - Infusion Clinic - Flexi/PRN (888)
UAB Medicine —Birmingham, AL
- $15.00 - $24.40 an hour
- PRN
- High school diploma or GED
- Clinic
- 1 year
- Paid parental leave
- Tuition reimbursement
Benefit Verification Specialist- Tue-Sat 11am-8pm
ADDICTION AND MENTAL HEALTH SERVICES, LLC —Birmingham, AL
- 8 hour shift
- CPR Certification
- Computer literacy
- Writing skills
Front Office Specialist- Training Provided!
Eye Care Partners Career Opportunities —Warrior, AL
- Background check
- Microsoft Outlook
- HIPAA
Quick Apply
6d
Referral Specialist - Over the Mountain Pediatrics
Children's of Alabama —Birmingham, AL
- Full-time
- Primary Care
- Mid-level
- Administrative experience
Float Medical Scribe
Oak Street Health —Birmingham, AL
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Patient Encounter Specialist (Temp) - Tuscaloosa
University of Alabama at Birmingham —Birmingham, AL
- $16.50 an hour
- Temporary
- Basic math
- HIPAA
- English
Denials Analyst
Westerkamp Group LLC —Birmingham, AL
- $15 - $25 an hour
- Full-time
- Mid-level
- Analysis skills
- 1 year
Palliative Care Coordinator - Medical Assistant - Home Visits
Complete Health —Fultondale, AL
- $17.50 - $23.53 an hour
- Day shift
- Vital signs
- Word processing
- Research
Quick Apply
6d
Director of Consolidation
Naphcare, Inc. —Birmingham, AL
- Full-time
- Office
- 3 years
- Bachelor's degree
- Paid holidays
- Health insurance
Front Office Specialist- Training Provided!
EyeCare Associates —Warrior, AL
- Background check
- Microsoft Outlook
- HIPAA
Quick Apply
6d

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Authorization & Verification Specialist - Acute Team

ContinuumRx -
Birmingham, AL

Quick Apply

Job Details

Full-time

Qualifications

Microsoft Word
Microsoft Excel
Overseeing health insurance pre-certification
Serving clients
Presentation software

Full Job Description

Continuumrx is currently recruiting employees in Knoxville, Tennessee to support our Acute Authorization and Verification Team!

Job Summary:

The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients.
The primary role of the Authorization Specialist is to review, process, and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations.

Verification Specialist Roles and Responsibilities:

Verifies benefit coverage and as appropriate, financial responsibility.
Identifies out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in accordance with the insurance eligibility/coverage information provided by payor at time of insurance verification.
Documents all patient interaction in EMR as a billing note.
Serves as a resource and problem resolution expert for patients, Intake and Sales.
As needed, verifies insurance coverage and eligibility through payor websites, E1 check, or by calling the payor directly. Document information in EMR and communicates as appropriate to team members.
Assists with Ready To Bill (RTB) as appropriate.
Performs other duties and special projects, as assigned.
Complete understanding of confidentiality with respect to Company proprietary information as well as information concerning patient/client care; complying with all federal and state laws as apply to confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and following HIPAA guidelines regarding readily identifiable protected health information.

AuthorizationSpecialist Roles and Responsibilities:

Coordinates with the Intake Specialists and the Pharmacy Team to identify and process requests for services requiring Prior Authorization and/or Pre-Determination for services rendered.
Reviews each request for Prior Authorization and insures that the proper supporting documentation and forms/documents are completed.
Processes Prior Authorizations via Fax, computer or phone call as required by the specific payers.
Maintains an organized process for documenting and tracking all requested prior authorizations.
Maintains an organized process for timely follow-up and troubleshooting of all pending Prior Authorizations.
Documents in the patient record all prior authorizations, expiration dates and other information as required.
Communicates with the Revenue Cycle Team and Admission Specialists any prior authorization denials and insures prompt follow-up.
Maintains a process to review newly accepted patients for a “second check” to prevent missing prior authorization requests.
Effectively identify and communicate to supervisor when assistance is needed (including, but not limited to system function, training, etc.).
Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).
Understands and provides exceptional customer service to clients, patients, and payers.
Exhibits a positive, courteous, respectful and helpful attitude to clients, co-workers, and management team.
Promotes company culture by adhering to all policies and procedures.
Adapts to and demonstrates the ability to deal with frequent changes in the work environment.
Other tasks/duties as assigned.
Complete understanding of confidentiality with respect to Company proprietary information as well as information concerning patient/client care; complying with all federal and state laws as apply to confidentiality of protected health information (PHI) and electronic protected health information (EPHI); and following HIPAA guidelines regarding readily identifiable protected health information.

Qualifications and Experience:

Required:

2 or more years of experience in healthcare reimbursement with focus on insurance verification and authorizations.
Experience with coordination of benefits, including but not limited to HMO, PPO, TPA, state and federal payors; preferred but not required.
Prior work in specialty or home infusion, homecare or related field; preferred but not required.
Strong computer skills (Microsoft Word, Excel, PowerPoint)
Exceptional communication - verbal and written
Exceptional interpersonal skills
Exceptional organizational and process skills
Ability to work well under pressure, meet timelines, and completes assigned projects
Exceptional critical thinking and problem solving skills
Proven performance, history in related field Exceptional attention to detail and demonstrated results
Exceptional track record of customer satisfaction

Quick Apply

Refine Your Search

authorization specialist jobs in birmingham, al

Authorization & Verification Specialist - Acute Team

Prior Authorization

Health Information Specialist I - Birmingham

Access Specialist - Days

Intake Specialist

Access Specialist - Evenings

Pre-Certification Specialist - TKC Infusion Clinic - Part-Time AM (920)

Access Specialist

Front Office Specialist

Team Lead, Qualifications ($23.85 – $29.81)

Pre-Certification Specialist - Infusion Clinic - Flexi/PRN (888)

Benefit Verification Specialist- Tue-Sat 11am-8pm

Front Office Specialist- Training Provided!

Referral Specialist - Over the Mountain Pediatrics

Float Medical Scribe

Patient Encounter Specialist (Temp) - Tuscaloosa

Denials Analyst

Palliative Care Coordinator - Medical Assistant - Home Visits

Director of Consolidation

Front Office Specialist- Training Provided!

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