Top 115 Authorization specialist Jobs in Mclean, Va

Authorization & Verification Specialist - Acute Team
ContinuumRx —Chantilly, VA
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
Quick Apply
PDN Home Health Authorization Specialist
COMFORT HOME HEALTH LLC —Falls Church, VA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Spanish
- HIPAA
- English
- Health insurance
- 401(k)
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
Quick Apply
Administrative Specialist I
Resilient Solutions Plus —Washington, DC
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Payor Clearance Specialist
Children's National Hospital —Silver Spring, MD
- $48,672 - $81,120 a year
- Full-time
- Bilingual
- Mid-level
- 3 years
- Commuter assistance
- AD&D insurance
Insurance Authorization Specialist/ Medical Assistant
Lifeline Vascular Care —Colmar Manor, MD
- $23 - $30 an hour
- Online Application
- Background check
- Mid-level
- Clinic
- Health savings account
- Paid holidays
Quick Apply
Patient Access Associate
Inova Health System —Fairfax, VA
- Full-time
- High school diploma or GED
- Neurology
- Pediatrics
- Wellness program
- Paid parental leave
Medical Receptionist, Insurance Verification Specialist and Scheduler
Specialized Orthopedic, Nerve and Reconstructive Surgical Medical Practice —Fairfax, VA
- $24 - $28 an hour
- Email
- Background check
- Spanish
- Anatomy knowledge
- Free parking
- Disability insurance
Quick Apply
4d
Medical Assistant/Clinical Service Specialist, Full Time- Alexandria and Fairfax, VA
Vivo Infusion —Fairfax, VA
- $24 - $28 an hour
- Full-time
- Ability to lift 50 pounds
- US work authorization
- 1 year
- Health savings account
- Disability insurance
Quick Apply
11h
Medical Assistant
US Foot & Ankle Specialists —Ashburn, VA
- Microsoft Excel
- Vital signs
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
10d
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
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
Patient Access Specialist (FT, Days)
Connections Health Solutions —Leesburg, VA
- $25 - $27 an hour
- Full-time
- Background check
- Spanish
- 11+ years
- Paid parental leave
- Health savings account
Quick Apply
14d
Administrative Assistant CG-AIR-E
Solutions Through Innovative Technologies, Inc —Washington, DC
- $39.97 an hour
- Full-time
- Basic math
- English
- Office
- Paid holidays
- Disability insurance
Revenue Cycle Specialist
United Theranostics —Chevy Chase, MD
- $26 - $32 an hour
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Bachelor's degree
- Paid holidays
- Disability insurance
Quick Apply
12d
Intake & Scheduling Specialist Home Healthcare
Human Touch Health Care —Washington, DC
- $21 - $25 an hour
- 8 hour shift
- Microsoft Excel
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
3d
Security Assistant
The Tatitlek Corporation —Arlington, VA
- $30.09 an hour
- Full-time
- Background check
- Microsoft Excel
- Pass drug screening
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
Customer Service Specialist - TS/SCI w/Poly
General Dynamics Information Technology —Annapolis Junction, MD
- $33.15 - $44.85 an hour
- Computer literacy
- High school diploma or GED
- Travel
- 401(k) matching
Registration Coordinator
OrthoVirginia Inc —Reston, VA
- $19.46 - $29.19 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
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 mclean, va

Authorization & Verification Specialist - Acute Team

PDN Home Health Authorization Specialist

Insurance Authorization Specialist

Administrative Specialist I

Payor Clearance Specialist

Insurance Authorization Specialist/ Medical Assistant

Patient Access Associate

Medical Receptionist, Insurance Verification Specialist and Scheduler

Medical Assistant/Clinical Service Specialist, Full Time- Alexandria and Fairfax, VA

Medical Assistant

Office Management Specialist II

Pre-Registration Specialist, Per Diem

Patient Access Specialist (FT, Days)

Administrative Assistant CG-AIR-E

Revenue Cycle Specialist

Intake & Scheduling Specialist Home Healthcare

Security Assistant

Office Management Specialist

Customer Service Specialist - TS/SCI w/Poly

Registration Coordinator

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