What are the responsibilities and job description for the Authorization Specialist position at GMA Health & EMS?
Job Summary
The Authorization Specialist plays a crucial role in the healthcare system by managing and facilitating the authorization process for medical services and procedures. This position requires a detail-oriented individual with a strong understanding of medical terminology, insurance verification, and compliance with HIPAA regulations. The ideal candidate will work closely with healthcare providers, patients, and insurance companies to ensure timely approvals for necessary treatments.
Responsibilities
- Review and process authorization requests for medical services and procedures.
- Verify insurance eligibility and coverage for patients.
- Communicate effectively with healthcare providers to gather necessary documentation and information.
- Maintain accurate medical records and documentation in compliance with HIPAA standards.
- Utilize medical coding knowledge, including ICD-10, to ensure proper coding of services.
- Collaborate with managed care organizations to facilitate the authorization process.
- Address any discrepancies or issues related to authorizations promptly.
- Stay updated on changes in insurance policies, regulations, and medical terminology.
Qualifications
- Previous experience in a medical office or dental office setting is preferred.
- Strong knowledge of insurance verification processes and managed care systems.
- Familiarity with medical records management and coding practices (ICD-10).
- Excellent communication skills, both verbal and written.
- Proficient understanding of medical terminology and HIPAA regulations.
- Detail-oriented with strong organizational skills to manage multiple tasks effectively.
- Ability to work independently as well as part of a team in a fast-paced environment.
This position is essential for ensuring that patients receive the care they need while adhering to regulatory requirements. If you are passionate about healthcare administration and possess the necessary skills, we encourage you to apply.
Job Type: Full-time
Pay: $20.00 - $25.00 per hour
Ability to Commute:
- Houston, TX 77040 (Required)
Ability to Relocate:
- Houston, TX 77040: Relocate before starting work (Required)
Work Location: In person
Salary : $20 - $25