Authorization Specialist

Job Overview:

We are seeking a highly organized and detail-oriented Authorization Specialist to join our growing team. As an Authorization Specialist, you will play a crucial role in facilitating the efficient processing of insurance authorizations for our patients. The successful candidate will have a strong understanding of insurance verification and authorization processes, particularly within the context of spine and joint healthcare services.

Responsibilities:

Insurance Verification:

• Verify patient insurance coverage and eligibility for spine and joint procedures.
• Confirm and document patient benefit information, including deductibles, co-pays, and coverage limits.

Authorization Processing:

• Initiate and manage the authorization process for spine and joint treatments with various insurance providers.
• Stay current on insurance regulations and policies to ensure accurate and timely authorization submissions.
• Collaborate with healthcare providers to gather necessary clinical documentation for authorization requests.
• Initiate prior authorizations for medications

Communication:

• Act as a liaison between the clinic, insurance companies, and patients to resolve any authorization-related issues.
• Communicate authorization status updates to relevant stakeholders, including clinic staff and patients.

Documentation and Record Keeping:

• Maintain accurate and up-to-date records of authorization requests, approvals, and denials.
• Ensure compliance with all relevant documentation and reporting requirements.

Problem Resolution:

• Proactively identify and address potential issues that may impact the authorization process.
• Work collaboratively with internal teams to resolve any authorization-related challenges.

Qualifications:

Education:

High school diploma required; Bachelor's degree in healthcare administration, business, or related field preferred.

Experience:

• Minimum of 2 years of experience in healthcare administration, with a focus on insurance verification and authorization processes.
• Familiarity with spine and joint procedures and terminology is a plus.

Skills:

• Strong understanding of insurance regulations, policies, and procedures.
• Excellent communication and interpersonal skills.
• Detail-oriented with exceptional organizational and multitasking abilities.
• Proficient in using electronic health record (EHR) systems and insurance verification tools.

Team Player:

• Ability to work collaboratively in a team-oriented environment.
• Demonstrated commitment to providing high-quality patient care.
• If you are a dedicated professional with a passion for ensuring that patients receive the necessary care for their spine and joint health, we invite you to apply for this exciting opportunity.

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $16 - $18