1 Authorization Specialist Job in Fort Mitchell, KY
Easterseals Redwood is Hiring an Authorization Specialist Near Fort Mitchell, KY
- Competitive salary
- PTO and Extended Illness Time
- Health Insurance options
- 401 K Retirement Plan with a company match
- Dental and Vision Insurance options
- Disability Insurance options
- Education and Professional Development Assistance
- Free daily lunch (Kentucky campus)
- Humana Employee Assistance Plan
- 10 Paid holidays
- Growth Opportunities and supportive supervisors!
- Work with all program areas and third-party payers to obtain insurance verification of benefits and prior authorizations for clients prior to services being received.
- Follow up on denials with appropriate funders, case managers, clients, etc. to solve authorization issues.
- Notify appropriate parties as approvals are received and communicate specifics such as co-pays, deductibles, and number of visits.
- Monitor PA status and notify appropriate personnel 30 days in advance before PA renewal due date.
- Submit appropriate renewal (re-authorization) documentation to funders in a timely manner.
- Processes PPEC and SACC and adult respite billing.
- Provide adult services and therapy billing assistance as needed.
- Participates in training offered by the state Medicaid/Medicare programs to meet training requirements. Stays current on applicable billing laws, regulations, and policies.
- Manages highly confidential agency/personnel matters and demonstrates ability to keep matters confidential and adheres to all HIPAA guidelines and regulations.
- Track and maintain yearly MD orders for therapy and PPEC clients.
- Backup for billing processes as needed.
- Performs other duties as assigned.
- Minimum 3 years insurance authorization and billing experience.
- Prior experience with Medicaid/Medicare and commercial insurance prior authorization and billing processes.
- High school diploma or equivalent required.
- Knowledge of insurance authorization and verification processes.
- Knowledge of medical or cost reimbursement billing and EDI billing systems.
- Knowledge of payment and collection procedures and adjustment processes.
- Ability to analyze client account problems, determine corrective action, and make recommendations for solutions.
- Proficient in Microsoft Office skills including Outlook, Excel, and Word.
- Excellent time management skills and ability to multi-task and prioritize work.
- Strong attention to detail and problem-solving skills
- We are a drug-free workplace.
Job Summary
Full Time
$86k-105k (estimate)
05/27/2024
06/22/2024
The job skills required for Authorization Specialist include Billing, Problem Solving, Prior Authorization, Time Management, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be an Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Authorization Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Authorization Specialist positions, which can be used as a reference in future career path planning. As an Authorization Specialist, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization Specialist. You can explore the career advancement for an Authorization Specialist below and select your interested title to get hiring information.
If you are interested in becoming an Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Authorization Specialist job description and responsibilities
Updates patient insurance and demographics information as needed.
03/31/2022: Florence, SC
Request, follow up and secure prior-authorizations prior to services being performed.
03/30/2022: Rochester, NY
Complete authorizations and referrals for services, including appointments and procedures.
01/29/2022: Clarksville, TN
Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order
03/22/2022: Ann Arbor, MI
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
01/29/2022: York, PA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Authorization Specialist jobs
There are great benefits to having a Prior Authorization Certified Specialist on staff to help with the administrative process.
03/31/2022: Greensboro, NC
Give credence to customer complaints.
02/08/2022: Salem, OR
Create a quick reference guide of your payor contacts
04/11/2022: Cincinnati, OH
Authorization Specialist assist with other clerical tasks as needed.
01/22/2022: Lincoln, NE
Licenses and certifications are not usually required to work as a prior authorization specialist.
03/09/2022: Bremerton, WA
Step 3: View the best colleges and universities for Authorization Specialist.
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