What are the responsibilities and job description for the Authorization Specialist position at AQUA Dermatology?
AQUA Dermatology is Florida’s largest and most comprehensive full-service skin care provider in the Southeast, offering medical, surgical, and cosmetic dermatology, plastic surgery, vein care, and radiation oncology.
We are looking for an energetic, hard-working, dependable, multi-tasking Medical Insurance Authorization specialist who is passionate about helping others and making a difference. Duties will vary on an as-needed basis and must be diverse and able to adapt to changes in responsibilities.
Medical Authorization Specialists are responsible for verifying coverage and obtaining authorizations for specialized procedures in dermatology, plastic surgery, radiation, and vein treatments.
ESSENTIAL FUNCTIONS
- The Medical Authorization Specialist verifies and confirms patients’ information, benefits, and status with various insurance vendors.
- Navigate through insurance websites for eligibility, authorizations, payments, and clearances.
- Contact the patient’s insurance company to verify coverage, initiate authorizations, provide clinical documentation, and follow up on previously submitted authorizations.
- Compare information obtained to prior claims to ensure accuracy if applicable.
- Document findings and all pertinent information in the notes section of the patient’s chart and appt notes thoroughly and clearly.
- Communicates to the patient their financial responsibility when it exceeds a specific amount and document all conversations and attempts in the patient’s chart.
- Maintain professional and open communication with the providers, offices, central pathology, and coworkers to ensure optimal patient care.
- Provides weekly progress notes upon request from insurance companies.
- Stays up to date on payer medical policies and requirements for procedures assigned.
- Maintain the confidentially of the client’s records, progress notes, and any related work.
- Medical Authorization Specialists work well in a team environment to accomplish common tasks collegially.
- Accepts special projects as assigned and completes them efficiently and timely.
- Other duties as assigned
We offer competitive salaries and benefits:
- Medical, Dental, and Vision available after 30 days of hire
- Short-term disability and life insurance, and many ancillary options.
- 401k available after 90 days of hire
- Excellent growth and advancement opportunities
- Discounts on services
POSITION TYPE AND EXPECTED HOURS OF WORK
- Full-Time
- Monday – Friday
- 8 am – 5 pm
- Remote
QUALIFICATIONS
Work Style - Must be able to work well independently but ask for help when needed. Ability to analyze and interpret information, ability to interact and decipher information telephonically and electronically
