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Authorization Specialist

Advantage Psychiatric Services, LLC
Nottingham, MD Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 3/25/2025

Job Overview
We are seeking a detail-oriented and knowledgeable Authorization Specialist to join our mental health team. The ideal candidate will play a crucial role in ensuring that patients receive the necessary authorizations for their services. This position requires strong communication skills, a solid understanding of medical terminology, and experience with insurance verification processes. The Authorization Specialist will work closely with healthcare providers, insurance companies, and patients to facilitate timely approvals for treatments.

Responsibilities

  • Review and process authorization requests from healthcare providers for various medical services.
  • Verify patient insurance coverage and eligibility through effective communication with insurance companies.
  • Utilize medical coding knowledge, including ICD-10, to ensure accurate documentation and compliance with regulations.
  • Maintain up-to-date knowledge of managed care policies and procedures to facilitate efficient authorization processes.
  • Collaborate with office staff to gather necessary documentation for authorization submissions.
  • Follow up on outstanding authorization requests and resolve any issues that may arise during the process.
  • Document all interactions and maintain accurate records in the medical records system.
  • Provide exceptional customer service by addressing patient inquiries regarding authorizations and insurance coverage.

Qualifications

  • Previous experience in a medical office or dental office setting is preferred.
  • Familiarity with medical coding practices, particularly ICD-10, is highly desirable.
  • Strong understanding of insurance verification processes and managed care systems.
  • Proficient in medical terminology to effectively communicate with healthcare professionals and insurance representatives.
  • Excellent organizational skills with the ability to manage multiple tasks simultaneously.
  • Strong attention to detail to ensure accuracy in all documentation and communications.
  • Ability to work independently as well as collaboratively within a team environment.
  • Proficient computer skills, including experience with electronic health records (EHR) systems.

Join our dedicated team as an Authorization Specialist where you can make a meaningful impact on patient care through your expertise in authorization processes!

Job Type: Full-time

Pay: $21.00 - $22.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Work Location: In person

Salary : $21 - $22

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