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Authorization specialist
PRIDE Health San Antonio, TX
$58k-71k (estimate)
Full Time | Skilled Nursing Services & Residential Care 1 Week Ago
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PRIDE Health is Hiring an Authorization specialist Near San Antonio, TX

Insurance Authorization Specialist

Pride Health is hiring an Insurance Authorization Specialist for one of its clients in San Antonio, Texas.

This is a 3-month contract with a temp to hire with competitive pay and benefits.

Location San Antonio, Texas 78216

Length of assignment 3 months (temp to hire)

Pay range - $17 - $20 per hour.

Shift Monday Friday 9 am to 5 pm

Onsite during the contract period and they can be remote after the transition.

Competencies :

Uses Technical and Functional Experience : Possesses up-to-date knowledge of the profession and industry; is regarded as an expert in the technical / functional area;

accesses and uses other expert resources when appropriate.

Demonstrates Adaptability : Handles day-to-day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change;

shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility

  • Uses Sound Judgment : Makes timely, cost-effective, and sound decisions; makes decisions under conditions of uncertainty
  • Shows Work Commitment : Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
  • Commits to Quality : Emphasizes the need to deliver quality products and / or services; defines standards for quality and evaluates products, processes, and services against those standards;

manages quality; improves efficiencies.

Requirements

  • High school degree or equivalent.
  • Associate’s degree in healthcare, LPN state license and registration preferred.
  • Minimum three (3) years of medical insurance verification and authorization preferred.
  • Minimum three (3) years of medical insurance verification and authorization and two (2) years of clinical review experience required.
  • Physical Demands : The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear.

Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.

Requires standing and walking for extensive periods. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment : The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology / hematology clinic environment.

Work will involve in-person interaction with co-worker’s management and / or clients. Work may require minimal travel by automobile to office sites.

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer.

Last updated : 2024-07-06

Job Summary

JOB TYPE

Full Time

INDUSTRY

Skilled Nursing Services & Residential Care

SALARY

$58k-71k (estimate)

POST DATE

07/08/2024

EXPIRATION DATE

07/09/2024

WEBSITE

pride-healthcare.com

HEADQUARTERS

MANHATTAN, NY

SIZE

25 - 50

FOUNDED

2010

TYPE

Private

CEO

LEO RUSELL

REVENUE

$5M - $10M

INDUSTRY

Skilled Nursing Services & Residential Care

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The job skills required for Authorization specialist include Flexibility, Commitment, 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.

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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.

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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.

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Request, follow up and secure prior-authorizations prior to services being performed.

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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.

Butler University
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