What are the responsibilities and job description for the Authorization Specialist (Medical Office Specialist) position at The Emerge Center?
Join Our Team as an Authorization Specialist!
Are you detail-oriented and passionate about client care? Emerge is looking for an experienced Authorization Specialist to join our dynamic team in Baton Rouge, LA. If you have a knack for navigating insurance processes and enjoy working in a collaborative environment, we want to hear from you!
Day to day as an authorization Specialist
As an Authorization Specialist at The Emerge Center, you can expect a dynamic work environment where no two days are the same. Your responsibilities will include managing patient records, assisting with appointment scheduling, submitting authorizations for our different departments, and providing excellent customer service to patients and their families. You will work closely with our medical staff to ensure the smooth operation of the office and the delivery of quality care to our patients.
This full-time position requires you to work Monday through Thursday from 8:00 am to 5:00 pm and Friday 8:00 am - 4:00 pm allowing for a consistent schedule that promotes work-life balance. With the training and support provided, you will have the opportunity to learn and grow in your role while making a positive impact in the field of autism care.
About Us: At Emerge, we are dedicated to providing top-notch care across multiple disciplines. Our team of professionals works together to ensure our patients receive the best possible treatment and support.
Key Responsibilities
Are you detail-oriented and passionate about client care? Emerge is looking for an experienced Authorization Specialist to join our dynamic team in Baton Rouge, LA. If you have a knack for navigating insurance processes and enjoy working in a collaborative environment, we want to hear from you!
Day to day as an authorization Specialist
As an Authorization Specialist at The Emerge Center, you can expect a dynamic work environment where no two days are the same. Your responsibilities will include managing patient records, assisting with appointment scheduling, submitting authorizations for our different departments, and providing excellent customer service to patients and their families. You will work closely with our medical staff to ensure the smooth operation of the office and the delivery of quality care to our patients.
This full-time position requires you to work Monday through Thursday from 8:00 am to 5:00 pm and Friday 8:00 am - 4:00 pm allowing for a consistent schedule that promotes work-life balance. With the training and support provided, you will have the opportunity to learn and grow in your role while making a positive impact in the field of autism care.
About Us: At Emerge, we are dedicated to providing top-notch care across multiple disciplines. Our team of professionals works together to ensure our patients receive the best possible treatment and support.
Key Responsibilities
- Verify patient insurance coverage and benefits.
- Submit and follow up on authorization requests with insurance companies.
- Maintain accurate records in our electronic health record (EHR) system.
- Communicate effectively with patients, providers, and insurance companies.
- Ensure compliance with all relevant regulations and guidelines.
- Collaborate with clinical staff to streamline processes.
- Obtains necessary information to submit authorizations for new and continuing care patient needs.
- Understand Payor expectations for billing, reimbursement, credentialing, audit
- Identify and report trends and prior authorization issues relating to billing and reimbursement
- Reviews accounts daily while meeting or exceeding all daily, weekly, and monthly production goals
- Document all account activity and correspond to inquiries in a timely manner
- Proactively manages and maintains all outstanding authorization accounts to increase billing of clean claims
- Research patient accounts due to invalid and/or missing authorization information and correspond with clients, insurance companies, patients, and sales representatives to obtain the necessary information to ensure accurate, timely, and complete claims submission.
- High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
- Minimum of 2 years of experience in medical billing, insurance verification, or a related field.
- Strong understanding of insurance policies and procedures.
- Excellent communication and interpersonal skills.
- Proficiency in using EHR systems and other relevant software.
- Detail-oriented with strong organizational skills.
- Ability to work independently and as part of a team.
- Competitive salary based on experience.
- Health, dental, and vision insurance.
- Paid time off and holidays.
- Retirement plan options.
- Must pass state and federal background checks.
- Must pass a drug test.
