Top 94 Authorization specialist Jobs in Chantilly, Va

Authorization & Verification Specialist - Acute Team
ContinuumRx —Chantilly, VA
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
Part-Time Prior Authorization Specialist
Endo Kids Concierge —Vienna, VA
- From $25 an hour
- Part-time
- Hybrid work
- Mid-level
- Children
- Pediatrics
Quick Apply
8d
Referral Authorization Specialist
Samaritan —Washington, DC
- $21.24 - $28.84 an hour
- Full-time
- Remote
- Heavy lifting
- HIPAA
- Mid-level
Quick Apply
Insurance Authorization Specialist
VSI —Reston, VA
- From $23 an hour
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Paid time off
- 401(k) matching
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Patient Service Representative
Inova Health System —Fairfax, VA
- Full-time
- Remote
- Microsoft Excel
- Pediatrics
- Experience equivalent to degree accepted
- Wellness program
- Paid parental leave
6d
Surgical Scheduler/Authorization Specialist
Reconstructive Surgery —Falls Church, VA
- Full-time
- Bilingual
- Background check
- Surgery
- Health insurance
- Dental insurance
Quick Apply
9d
Patient Access Associate
Inova Health System —Fairfax, VA
- Full-time
- High school diploma or GED
- Neurology
- Pediatrics
- Wellness program
- Paid parental leave
7d
Lead Insurance Specialist
RAYUS Radiology —Woodbridge, VA
- Full-time
- Bilingual
- Computer literacy
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Pre-Registration Specialist, Per Diem
Samaritan —Washington, DC
- $21.10 - $26.26 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
Quick Apply
Administrative Assistant V
Fairfax County Government —Fairfax, VA
- $55,417.02 - $96,979.79 a year
- Full-time
- Microsoft Outlook
- Current TB test
- Basic math
- Health insurance
- Dental insurance
1d
Office Management Specialist
Bering Straits Native Corporation —Washington, DC
- $85,000 - $90,000 a year
- 8 hour shift
- Background check
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Scheduler & Authorization Specialist
The Centers for Advanced Orthopaedics LL —Chevy Chase, MD
- $21 an hour
- English
- Mid-level
- High school diploma or GED
Quick Apply
scheduling specialist
RAYUS Radiology —Woodbridge, VA
- Full-time
- Bilingual
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Office Management Specialist II
Goldbelt, Inc. —Washington, DC
- $85,000 - $97,500 a year
- Full-time
- Microsoft Outlook
- Writing skills
- ERP systems
- Health insurance
- Dental insurance
10d
Registration Coordinator
OrthoVirginia Inc —Reston, VA
- $19.46 - $29.19 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
Quick Apply
Front Office Specialist
Concentra —Sterling, VA
- $19.94 - $25.93 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Inventory management
- Commuter assistance
- Disability insurance
Office Management Specialist
Integrated Business & Technical Consultants —Vienna, VA
- $70,000 - $75,000 a year
- Online Application
- Travel
- Organizational skills
- Senior level
- Travel reimbursement
- Disability insurance
Quick Apply
AOG Customer Resolution Specialist (Contract)
Satair USA, Inc. —Herndon, VA
- Weekends as needed
- Hybrid work
- ERP systems
- Mid-level
- Office
Medical Appointment Scheduler
Virginia Cancer Specialists —Fairfax, VA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Surgery
- Paid holidays
- Health insurance
9d
Medical Assistant -- 1-2 years of experience in private practice
NOVA Arthritis and Rheumatology Specialists —Sterling, VA
- $20 - $24 an hour
- Full-time
- CPR Certification
- Vital signs
- BLS Certification
- Free parking
- Profit sharing
Quick Apply

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Authorization & Verification Specialist - Acute Team

ContinuumRx -
Chantilly, VA

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 Virginia 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 chantilly, va

Authorization & Verification Specialist - Acute Team

Part-Time Prior Authorization Specialist

Referral Authorization Specialist

Insurance Authorization Specialist

Patient Service Representative

Surgical Scheduler/Authorization Specialist

Patient Access Associate

Lead Insurance Specialist

Pre-Registration Specialist, Per Diem

Administrative Assistant V

Office Management Specialist

Scheduler & Authorization Specialist

scheduling specialist

Office Management Specialist II

Registration Coordinator

Front Office Specialist

Office Management Specialist

AOG Customer Resolution Specialist (Contract)

Medical Appointment Scheduler

Medical Assistant -- 1-2 years of experience in private practice

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