What are the responsibilities and job description for the Authorization Manager - Maitland, FL position at Advanced Dermatology and Cosmetic Surgery?
NOW HIRING!!
At Advanced Dermatology and Cosmetic Surgery, we are committed toproviding the best experience and care for our patients.
Nationally known with over 150 locations, we pride ourselves onbeing the largest dermatology practice in the country!
We are seeking a Prior Authorization Supervisor to become a part of our team at Advanced Dermatology and Cosmetic Surgery.
JOB DESCRIPTION:
This newly established role will involve offering specialized knowledge in Government and Commercial reimbursement practices in the United States. You will oversee the intake and predetermination processes within the ADCS Prior Authorization Program and lead the Prior Authorization team. Collaboration with clinic managers and surgical coordinators will be essential to ensure that all patient prior authorizations are submitted promptly and that each case receives meticulous attention to detail.
The Authorization Manager plays a crucial role in ensuring the success of the insurance authorization department. These individual exercises sound judgment in coordinating all activities related to practice operations, ensuring that all necessary authorizations for treatment are secured before patient appointments. The role demands a solid understanding of insurance verification and authorization processes, as well as familiarity with the policies and procedures typical of a multi-physician practice. Additionally, knowledge of HIPAA, Compliance, and OSHA regulations pertinent to outpatient settings is essential. Proficiency in electronic medical records (EMR) and various clinic software applications is also required. The position necessitates a high level of initiative, judgment, discretion, and decision-making skills to effectively meet the objectives of the role. Establishing and maintaining productive working relationships with colleagues, physicians, leadership, patients, and the public is vital. The ability to organize and prioritize tasks efficiently to achieve set goals and deadlines is crucial, including the accurate acquisition and documentation of patient information to ensure appointment readiness. Clear and effective communication skills, both written and verbal, are necessary, along with a preferred knowledge of medical terminology, specifically CPT and ICD-10 codes.
EDUCATION: High School, with 1-2 years’ experience in healthcare insurance billing and verification, collections and/or authorizations.
JOB TYPE: Full-time
Assisting with Onboarding new hires, along with in office training
Motivating Team members daily and partnering on development opportunities
Communicating with direct reports on performance and coaching on feedback
Training providers and their facilities/staff on prior authorization requirements
Educating the Prior Authorization team where needed
Working with field sales/leadership to assist where needed with account support
Run Audit Reports as needed
Rolling out and implementing new processes as needed
·Maintains and adheres to the company’s HIPAA, Compliance, and OSHA regulations.
·Other duties as assigned.
Compensation/ Benefits:
Career Advancement Opportunities.
Paid holidays, vacation, floating holiday, AND personal time off
Benefits packages, including medical, dental, STD, LTD, Life, and other voluntary benefit offerings (for employees working 30 hours per week)
401(k) matching