What are the responsibilities and job description for the Authorization Specialist position at Olympic Sports & Spine?
Olympic Sports and Spine (OSS) is looking for full-time, experienced Medical Insurance Authorization Specialist. This position is responsible for processing all activities related to authorizations for assigned locations. This individual must be highly skilled, ensuring patients receive timely pre-authorizations from insurance carriers. This role will support front office staff, therapists, and billing staff. We want a candidate that excels working in a fast-paced medical billing office and wants to work for a company that is committed to providing quality customer service and care to our patients and being a great employer to our employees and wants a job with no weekends required (Monday - Friday 8 am - 5 pm.)
JOB RESPONSIBILITIES:
- Process referrals and review information for accuracy and completeness to ensure all supporting documents are present for insurance carriers to expedite prior authorization.
- Consult with therapists and office staff to obtain medical documentation and ensure plan of care is consistent with diagnosis and referrals on file. Continual follow up is required for timely submission.
- Closely monitor status of authorization and perform frequent follow up calls with insurance
- Create authorization records and ensure information is properly documented and communicated.
- Ensure authorizations are complete for the next day's patients or if unable to obtain, properly communicate to office staff / therapist.
- Manage correspondence and provide detailed notes in EMR system of all communication with insurance companies, patients, clinic staff and billing staff.
- Execute prior authorization workflow, policies and procedures.
- Secure patients' demographics and medical information by using great discretion and ensuring all procedures are in sync with HIPAA compliance and regulation.
- Performs other duties as needed.
- Participates in educational activities and attends monthly staff meetings.
Education/Experience: Minimum High School graduation or equivalent AND three years of experience working in a medical billing office, medical setting or insurance company OR Equivalent education/experience.
BENEFITS: https://www.osstherapy.com/employee-benefits
If you are looking for a great workplace, look no further!
Equal Opportunity Statement
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of age, ancestry, citizenship, color, ethnicity, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or invisible disability status, political affiliation, veteran status, race, religion, or sexual orientation.
OSS001
Salary : $21 - $33
