Top 19 Authorization specialist Jobs in Little Rock Ar

Referral Specialist - EngageMED - On-Site
ENGAGEMED INC —North Little Rock, AR
- Full-time
- Bilingual
- Computer literacy
- Basic math
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Release of Information Specialist
Arkansas Children's Hospital —Little Rock, AR
- $15.30 - $19.10 an hour
- Full-time
- Spanish
- English
- Mid-level
Medical Billing Specialist
Premier Gastroenterology Associates —Little Rock, AR
- Full-time
- Medical office experience
- High school diploma or GED
- Medical terminology
Billing Specialist
Access Group, Inc. —Little Rock, AR
- $21 an hour
- Clean driving record
- Word processing
- Computer literacy
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Administrative Coordinator
Behavior Bridges ABA LLC —Bryant, AR
- $15 - $23 an hour
- Part-time
- Mid-level
- Administrative experience
- Organizational skills
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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
Orthodontic Medicaid Specialist - Rock Dental Brands
AXPM Dental Management LLC —Little Rock, AR
- Full-time
- Mid-level
- Paid holidays
- Paid time off
Quick Apply
11d
Billing Specialist - EngageMED
ENGAGEMED INC —North Little Rock, AR
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
Support Services Specialist
EASTERSEALS ARKANSAS —Little Rock, AR
- HIPAA
- Mid-level
- Outpatient experience
Care Coordinator - Little Rock Market
Sage Health —North Little Rock, AR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Patient Experience Associate (Front Desk) - Little Rock Market
Sage Health —North Little Rock, AR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
PRN Patient Experience Associate/Care Coordinator
Sage Health —North Little Rock, AR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Compliance Specialist
Cynergy Rehab Group/Arkids Pediatric Day Centers —North Little Rock, AR
- $19 - $21 an hour
- Classroom
- Management
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply

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Based on your search for authorization specialist jobs.

Care Coordinator I - Region 8 (Polk, Scott, Sebastian & Crawford Counties)
Arkansas Provider Coalition, LLC —Little Rock, AR
Answers questions and provides information over the telephone, email, and in person; answers and assists callers via telephone calls, utilizing a company-…
$19.80 - $24.40 an hour
Quick Apply
Patient Access Representative I
Arkansas Children's Hospital —Little Rock, AR
Greets and engages patients, families and visitors in order to provide a positive first impression. Collaborates with clinical partners to optimize patient…
$17.20 - $21.50 an hour
8d

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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
Quick Apply
3d
BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
CPR certification (based on position and as determined by manager). Assists with the retrospective review of records for patients who have insurance changes…

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Referral Specialist - EngageMED - On-Site

ENGAGEMED INC -
North Little Rock, AR

Quick Apply

Job Details

Full-time

Qualifications

Customer communication
Report writing
Medicare
Serving clients
Spreadsheets
Medical scheduling
High school diploma or GED
Healthcare referral management
Medicare regulations
Client referral services
Desktop applications
Individual consumer customer service
Health insurance referral requirements
Productivity software
Database software proficiency

Full Job Description

JOB DESCRIPTION – Referral Center Coordinator I

I. Job Summary / Job Purpose

The Referral Center Coordinator I works with patients and clinics requiring a referral, to ensure patient’s referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.

II. Key Responsibilities

Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.

Monitor and maintain designated referral queue in an organized and efficient manner

Set up appointments and coordinate clinic visits

Coordinate flow of information between referring medical clinic and specialist office to secure a valid referral for clinic patient.

Enter referrals, documents communications and action into the system, as appropriate.

Notify physician(s) and patient when referral is denied, or if additional information is needed.

Develop and maintain database of referral physician offices preferred by each physician within the system.

Consult referring practice with complaint resolution and solutions related to patient referrals.

Perform other duties as assigned by the coordination center manager or director.

Maintain performance and quality standards based on established call center metrics including turn-around times

Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction

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.

Qualifications

V. Job Requirements / Qualifications

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

High school diploma or equivalent required.

b. Experience (required and preferred):
Excellent communication skills

Proven ability to deal, professionally, with all stakeholders involved in the referral process

Energetic and motivational individual with positive attitude and outcomes

Creative thinking

3+ years of customer service experience, preferably in a healthcare or insurance environment.

Bi-lingual a plus.

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.

Quick Apply

Refine Your Search

authorization specialist jobs in little rock ar

Referral Specialist - EngageMED - On-Site

Release of Information Specialist

Medical Billing Specialist

Billing Specialist

Administrative Coordinator

Medical Billing Specialist

Orthodontic Medicaid Specialist - Rock Dental Brands

Billing Specialist - EngageMED

Support Services Specialist

Care Coordinator - Little Rock Market

Patient Experience Associate (Front Desk) - Little Rock Market

PRN Patient Experience Associate/Care Coordinator

Compliance Specialist

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