What are the responsibilities and job description for the Medical Authorization Specialist position at Metro Vein Centers?
Description
Medical Authorization Specialist
Metro Vein Centers
Hybrid in West Bloomfield, MI Once Fully Trained
Healthy legs feel better.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our industry-leading team of board-certified physicians is on a mission to meaningfully improve people's quality of life by relieving the often painful and highly treatable symptoms of vein disease-such as varicose veins and heavy, aching, swollen legs. We currently operate 50 clinics throughout 7 states with a vision of becoming the go-to vein care choice for patients nationwide.
Metro Vein Centers At-A-Glance
Welcome to vein care done differently.
As the Medical Authorization Specialist at Metro Vein Centers, you will play a key role in ensuring accuracy and efficiency in the authorization process. You will be responsible for managing and optimizing the cases assigned to you.
This position demands...
Medical Authorization Specialist
Metro Vein Centers
Hybrid in West Bloomfield, MI Once Fully Trained
Healthy legs feel better.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our industry-leading team of board-certified physicians is on a mission to meaningfully improve people's quality of life by relieving the often painful and highly treatable symptoms of vein disease-such as varicose veins and heavy, aching, swollen legs. We currently operate 50 clinics throughout 7 states with a vision of becoming the go-to vein care choice for patients nationwide.
Metro Vein Centers At-A-Glance
Welcome to vein care done differently.
- We're the fastest growing vein practice in the US-celebrating more successful organic expansion than our top 5 competitors combined.
- Our proven capital-efficient, de novo growth strategy has enabled us to open 30 clinics in the last two years, funded entirely through positive cash-flow.
- Our differentiated brand and sophisticated digital marketing strategy fuels our rapid expansion.
- Our physicians are empowered to solely focus on patient-care, with full admin and clinical staff support, marketing and patient experience best practices, and end-to-end Revenue Cycle Management all powered by Metro Vein Centers HQ.
- We proudly maintain both a best-in-class physician retention rate and an NPS of 93 across 150,000 annual patient visits-the highest patient satisfaction in the industry.
As the Medical Authorization Specialist at Metro Vein Centers, you will play a key role in ensuring accuracy and efficiency in the authorization process. You will be responsible for managing and optimizing the cases assigned to you.
This position demands...
- Verify information about patient insurance coverage, and eligibility.
- Review documentation for medical necessity against the paser-specific policy to reduce denials
- Request and obtain prior authorizations for patient treatment plans for all required insurances
- Coordinate and follow up on denials including scheduling peer to peers and submitting appeals
- Assists as needed with collection activities on accounts involving prior authorization activity. Including accepting phone calls related to prior authorization questions from patients & staff
- Maintains the strictest confidentiality in accordance with HIPAA regulations and clinic requirements.
- Perform other responsibilities as needed or required.
- Requires attention to detail
- Skilled in the use of computers. Including; the ability to utilize spreadsheets, the ability to navigate the internet and websites and basic use of a calculator.
- Must have strong interpersonal skills to establish and utilize working relationships internally and externally within the health insurance community and company.
- Ability to work effectively on your own and in a team environment.
- Strong written and verbal communication skills.
- Requires a high school diploma or GED.
- 2 years experience with CPT and ICD-10 coding practices and procedures.
- 2 years experience with health insurance carrier operations, including but not limited to; third-party administrators, fee schedules, and spectrum of health insurance products, including Medicare, Medicaid, commercial and HMO plans.
Central Authorization Specialist/Full Time
Henry Ford Health - Careers -
Troy, MI
Central Authorization Specialist, Home Health and Hospice
HarmonyCares -
Troy, MI
Prior Authorization Pharmacy Call Center Specialist
G-TECH Services -
Detroit, MI
