New York, NY, United States **Assistant for an Authorization Team Member** ** Job Description:** ??????**?This job is full-time and work-from-home.** **?Schedule: ET USA**? ?? **Job Highlights:** ? Permanent work from home ? Immediate hiring ? Steady freelance job? ??**Description:** Assist the authorization team member to meet their responsibility to quickly and accurately gain approval to identify patients benefit eligibility in relation to Applied Behavioral Analysis (ABA) services in according to given patients insurance, as well as obtaining the requested number of units of services requested by the provider to be authorized by the insurance carrier and maintain data properly. **Qualifications:** ? Graduate of 4-year College degree? ? Detail orientated with above-average organizational skill ? Able to plan and prioritize to meet deadlines ? Excellent verbal and written communication ? Communicates clearly and effectively ? Excellent reading comprehension ? Excellent computer skills, including Microsoft programs such as Excel, Word ? Thorough understanding of navigating the internet ?**Preference:** ? 2 years experience in US-based medical billing practice or ? 2 years experience in a medical practice dealing with billing including but not limited to, provider credentialing, auth, reimbursement, etc.??????? **??**Responsibilities:****? ? Stay on top of benefits requests coming in through various methods such as email and client-specific applications. ? Benefits checks should be completed within an hour. ? Know method used to verify benefits such as insurance portals, carrier portals, general portals or calling in to carriers. ? Check the process of documentation on requested insurance patients. ? Follow through detailed items that need to be checked, update information in the various systems according to a specific client. ? Check monthly on eligibility to ensure that the given patient is still active with the given plan and know results in various systems based on specific clients. ? Complete specific process if the plan has been changed and/or terminated. ? Complete each authorization request coming in from all methods, email or client-specific applications, to be submitted to carriers for review. Complete and submit according to carrier guidelines. ? Follow up on each submitted request. Discuss with authorization team member how to handle any delayed partial and full denials of authorizations and act accordingly. ? Follow the process of requesting single case agreements according when the client is not yet participating with a given carrier network according to given rules in effect at a given time for a given practice group. ? Submit partial or full denied cases to autism advocacy groups and follow up with team member. ? Update various systems based on clients systems with accurate information authorization team received from carriers. ? Search near expiring authorizations which practice groups have not submitted for re-authorization. ? Communicate with authorization team member if a new carrier/plan which do not have rules or coding documented. ? Prepare email for the authorization team member with details for client regarding each item listed above. ? Attend daily meetings with authorization team member. ? Attend weekly team meetings, completing the to-dos assigned to authorizations team member. ? Other Duties as Assigned ?? ?**Technical Requirements:** ? Intel I3/Ryzen 3/MAC Intel I5 ? RAM 8GB ? Windows 10/Catalina and Up Only ? 20-25mbps Internet speed **IMPORTANT:** ? Vocabulary Tests ? Aptitude Tests ? Voice Recording password: bruntw0rk ****VOICE RECORDING** - ???** **?*Only those who took the online exams and have met the requirements will be contacted***????? ** Required Skills:** Data Authorization Search Excel Resume Hiring Checks Analysis Insurance Education Email Documentation Communication