Top 11 Authorization specialist Jobs in Charlottesville, Va

AUTHORIZATION SPECIALIST, ACCOUNTING - CHARLOTTESVILLE (FULL TIME)
Region Ten Community Services Board —Charlottesville, VA
- $19.11 - $28.66 an hour
- Full-time
- Writing skills
- Basic math
- Mid-level
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Medical Assistant/ EMT/ LPN
ALLERGY PARTNERS —Charlottesville, VA
- $14.60 - $21.49 an hour
- Email
- Vital signs
- Word processing
- HIPAA
- Health savings account
- Paid holidays
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Medical Assistant/ EMT
ALLERGY PARTNERS —Charlottesville, VA
- $14.60 - $21.49 an hour
- Email
- Vital signs
- Word processing
- HIPAA
- Health savings account
- Paid holidays
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Pre-Visit Specialist I - Hospital Call Center (Scheduling & Pre-Registration)
Augusta Health —Fishersville, VA
Provide aforementioned services for various service lines and modalities across the organization per physician orders/referrals and / or customer calls or…
$17.72 - $24.46 an hour
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Clinic Operations Representative - Friendship Heights, 8:30a - 5p
Children's National Hospital —Friendship Heights, VA
Discuss co-payment, deposits, payment in full, or past due balance collections with parents prior to scheduled appointment in a professional & courteous manner.
$20.75 - $40.99 an hour

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Prior Authorization Specialist
WSD —Westerville, OH
Collaborate with clinical staff to ensure timely approvals for patient treatments. Must have prior experience with insurances and prior authorizations.
$18 - $25 an hour
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5d
Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
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3h

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AUTHORIZATION SPECIALIST, ACCOUNTING - CHARLOTTESVILLE (FULL TIME)

Region Ten Community Services Board -
Charlottesville, VA

Quick Apply

Job Details

Full-time
$19.11 - $28.66 an hour

Qualifications

Health insurance authorizations
Serving clients
Basic math
High school diploma or GED
Internal employee customer service
Medicaid
Quality data entry

Full Job Description

Req# 22000041

GENERAL STATEMENT OF RESPONSIBILITIES:

This is a FLSA non-exempt position. The incumbent serves as administrative staff with specialized responsibilities for the Financial Access Department of the Administrative Division. In this capacity, he/she has primary responsibilities for requesting service authorizations to various insurance companies in a timely manner to obtain approval for the agency to provide service to clients.

The incumbent is under the direct supervision of the Fiscal Access Program Manager. The incumbent performs duties by proceeding alone under standard practices and referring questionable situations to the supervisor. Standard practices allow for the independent accomplishments of recurring tasks and use of own initiative for prioritizing the work schedule. Work includes ad hoc problem solving around assigned tasks. In carrying out position duties, he/she performs in accordance with applicable professional ethics and established Region Ten policies. Position performance requires analysis of facts and determining action using a wide range of procedures but within the limits of standard practice. Duties require planning own work after definite objectives set by the supervisor with unusual situations referred to the supervisor.

The essential functions of this job are starred below (*) under “Major duties.”

MAJOR DUTIES:

1. *Request and obtain service authorizations from various insurance companies, using fax, internet, and/or phone to submit requisite clinical information to payers for review.
2. *Effectively respond to insurance companies’ time-sensitive requests for additional information in order to maximize agency’s service approvals.
3. *Accurate and timely data entry of authorizations approval into Credible once obtained from insurance companies.
4. *Assist clinicians in tracking and/or updating external authorizations by providing information to clinicians in a timely manner.
5. *Issue service limit and/or date expiration warnings to staff and management notifying them of over and/or underutilization.
6. *Manages clinicians’ internal request for submitting authorizations.
7. *Notify supervisor of issues related to clinicians’ request and/or insurance companies.
8. *Notify supervisor of any changes to payer rules and/or procedures noticed while submitting requests.
9. *Collaborates with other agency staff and functions in assuring accurate reimbursement related data entry.
10. *General secretarial duties as they relate to the authorization request process (i.e., copying, typing, faxing, and filing).
11. *Reads all agency communication.
12. *Other duties and special projects as assigned by the supervisor.

QUALIFICATIONS:

EDUCATION:

High School Diploma Required

KSAS

Knowledge of: third party billing, the service authorization process, DMAS/Medicaid eligibility criteria, working knowledge of mental illness, substance abuse, intellectual disability.

Skills in: verbal and written communication; online authorization submission, proficiency with relevant screens of Credible; problem solving; computer and data management; basic record-keeping; math; use of office equipment; data entry; customer service; interpersonal relations.

Abilities to: collect information on third party payer(s) and others regarding benefits, reimbursement requirements, and authorization procedure; comprehend and maintain knowledge of principles; practices and methods of treatment modalities, analyzing data for patterns and trends; medical necessity, levels of care; be organized, efficient and accurate; communicate effectively with a wide variety of individuals; be decisive and think quickly; work well under pressure; prioritize work and provide coverage in each of the functional areas; be client-centered/customer oriented; work with both external and internal customers.

Grade: 8 , Hourly Pay Range $19.11 - $28.66

Schedule: Full Time

Location: 110 Avon Street
Charlottesville, VA 22902

Position : 000001600

Location : 500 OLD LYNCHBURG RD

Details : Job Description

Salary: $19.11-$28.66

Work Location: In person

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authorization specialist jobs in charlottesville, va

AUTHORIZATION SPECIALIST, ACCOUNTING - CHARLOTTESVILLE (FULL TIME)

Medical Assistant/ EMT/ LPN

Medical Assistant/ EMT

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