What are the responsibilities and job description for the Authorization Specialist position at United Vein & Vascular Centers?
Overview
United Vein & Vascular Centers is a life-changing healthcare innovator that is rapidly expanding access to state-of-the-art, minimally invasive vein and vascular care as we grow our footprint across the country. The unparalleled outcomes we achieve are made possible by dynamic team members like YOU working alongside our exceptional team of skilled physicians and passionate staff. Join us on our journey to transform lives as we raise the bar for patient service and outcomes! Explore exciting career opportunities with United Vein & Vascular Centers and unlock your potential!
We offer a supportive culture that is driven by deep commitment to the success of our patients and our teams. We invest in YOU and are dedicated to creating individualized opportunities for career advancement. In addition, we invest in our employees by offering:
- Competitive compensation package
- Outstanding work life balance
- Health, vision, and dental benefits
- 401K plan match
- Life insurance (100% company paid)
- PTO and paid holidays
- We invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive.
Responsibilities
The Authorization Specialist will be responsible for the submission of requests using paper forms, printed documentation, fax, payer portals or other means. They will complete follow up on requests to ensure timely turnaround/approval and escalate problem accounts to ensure resolution. Will have regular contact with patients, insurance plans, physician offices, respiratory therapists and other personnel.
- Submit in a timely manner, the required forms and documentation to obtain authorization for services, supplies and equipment for patients under the assigned payers.
- Contact patients, physician offices and referral sources as needed regarding account issues.
- Work collaboratively with other department staff to ensure timely collections or resolution of issue.
- Review patient’s clinical documentation and verify payor specific medical coverage guidelines are being met prior to authorization submission.
- Maintain confidentiality in all aspects of patient care, employee activities and office environment.
- Demonstrate and promote a work culture committed to UVVC’s Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.
- Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.
- Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.
- Other duties as assigned.
Qualifications
- HS Diploma or GED required.
- Minimum of 2-3 years experience in Authorization.
- Experience working with payer portals such as Availity, UHC, and TriCare.
- Prior experience working with eClinicalWorks a plus.
- Must be able to work independently and as a part of a team.
