What are the responsibilities and job description for the Authorization Specialist position at Spear Physical and Occupational Therapy?
Authorization Specialist
Your Impact - The Authorization Specialist will work with all clinics, Therapists, and insurance providers to ensure that all patients’ get access to care. The Authorization Specialist serves as a valued member of the SPEAR team, helping patients on their path to getting back to life by obtaining approvals for Physical and Occupational therapy appointments.
As a SpearTeam Member, you naturally exhibit Spear’s values by default. Your talents instinctively result in actions of Service, Passion, Empathy, Accountability, Respect, Impact and Teamwork. You put people first, and know that every team member, and potentially every New Yorker within travel distance to any of our clinics, relies on you to help them become the best versions of themselves.
Your Success Factors:
Respect & Teamwork: You understand that respect is the only way employees, customers and Spear will succeed. You cultivate a culture of teamwork and are committed to supporting our team.
o Punctuality is an essential component to your success. On time to you is 10 minutes early to the rest of the world.
o You make it habit out of practicing our Spear-IT values: Service, Passion, Empathy, Accountability, Respect, Integrity, and Teamwork in relation to your work, life, and attitude towards others.
o Communicate efficiently & effectively 100% with team members and clinics when there are any issues preventing you from completing your task on time.
Impact & Passion: You take pride in making a positive impact on the New York Community and healthcare industry. Your passion ensures that all clinics achieve operational targets, making it easy for patients to connect with our devoted team to receive the care they need.
o Ensure to review and work the General Authorization Dashboard
o Ensure to review and work the BAUTH and Follow-up Dashboard every day
o Collect 97% or greater of the expected completed submission forms.
o Respond to messages and or emails within 2 hours in receipt.
o Go that one step further; send a reminder note to providers to complete their authorizations
Empathy & Service: You exhibit 5-star customer service for all Spear patients through empathy. You respond efficiently and accordingly because you understand their feelings and needs.
Ensure proper phone and email etiquette when answering calls and replying to emails i.e., Good Morning, thank you for calling Spear, How can I help you?
Accountability: You are a champion of customer access, accountable for ensuring our financial process never keeps a single New Yorker from getting back to life. You are committed to our patients, and their physicians, by navigating through the financial processes in healthcare to get them the therapist and the treatment they need.
Schedule management
a. Maintain Claim Delay at <3% Day to day
b. Ensure all open tasks are completed weekly
c. Ensure all authorizations submissions are sent within 24-48 hr. of initial evaluation.
d. Work all in-network payor accounts
e. Update of all received approved authorizations to accounts with in 24hrs.
f. Communicate with providers daily on items required from them for submission
i. Ensure BAUTH and authorization Authorization Dashboards are worked daily
j. Maintain write offs for authorization issues at <3%, monthly
Requirements - 1 year Physical Therapy Authorization experience or any other equivalent experience preferred.
Your Team
• Report to: Lead Authorization Specialist
• Primary Interactions: Clinical Directors, Therapist Teams, Regional CC,, Customer Service Center Team, Care Coordinators, Verifications Specialist, and RCM Manager
\nSalary : $21 - $23
