Authorization Specialist

This position is responsible to obtain and enter requests for authorization of medical treatments accurately within the electronic systems utilized; including verification of member eligibility, demographics, health plan identification, appropriate entry of referring and requested providers, diagnosis, and procedure coding based on referral submission.

Qualifications:

• High school graduate or GED certification, required.
• 2-3 years medical clerical office experience, obtaining medial authorizations.
• Typing certificate of 45 wpm and familiar with medical terminology preferred.
• Bilingual preferred.
• Able to organize and prioritize workload.
• Able to multi-task.
• Must be a motivated self-starter.

Summary

As an Authorization Specialist, you will be essential in managing patient authorizations and ensuring compliance with insurance requirements. Reporting to the office manager, your role will leverage core skills in medical terminology, medical records, and insurance verification to facilitate efficient patient care. Your premium skills in managed care and coding (CPT, ICD-9, ICD-10) will enhance the accuracy of claims processing. Additionally, your bilingual abilities and clerical experience will support effective communication and administrative tasks, making you a vital asset to our medical team in delivering high-quality healthcare services.

Responsibilities

• Verify patient insurance information and eligibility for services.
• Maintain and update medical records with accuracy and attention to detail.
• Utilize medical terminology to communicate effectively with healthcare providers.
• Ensure compliance with HIPAA regulations during the handling of sensitive patient information.
• Obtain insurance authorizations for clinic visits, procedures and imaging studies
• Provide support in a bilingual capacity to enhance patient communication and service.

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Expected hours: 40 per week

Benefits:

• Health insurance
• Life insurance
• Paid time off

Experience:

• Insurance verification: 2 years (Required)
• insurance authorizations: 2 years (Required)

Ability to Relocate:

• Bakersfield, CA 93312: Relocate before starting work (Required)

Work Location: In person

Salary : $19 - $22