Department

Worker Sub Type

Work Shift

Pay Grade

Job Description

The Authorization Specialist is responsible for the verification of insurance eligibility, management of insurance authorizations for patients, and scheduling/administrative responsibilities.

Responsibilities and Duties

Provides office support by answering phones in a timely fashion, greeting patients, visitors and vendors responding to inquiries, complaints, concerns and requests transmitting information to appropriate staff members as necessary.

Notifies appropriate office staff and patient of insurance benefits, criteria and coverage.

Prepares records for medical record requests.

Ensures that all initial consult paperwork has been done.

Contacts patients prior to initial evaluation and conducts patient appointment reminders by telephone.

Informs Physician of daily changes in schedule.

Facilitates any physician request through the day, i.e., referring patients to another practice, paging any physician requested by the physician in office.

Schedules and completes testing order forms for patients and faxes the forms to the appropriate departments. Assists in requesting copies of tests, surgeries, or office notes to be placed in patients' chart. Prepares referral letters and reports.

Calls patient if insurance will not allow extended referral authorization; informs patient of financial obligations or reschedules.

In the absence of Patient Service Representative, greets patients, schedules appointments for patients and vendors, prepares daily transaction sheets for office manager to review and make bank deposits.

Maintains confidentiality and security of all information contained in the medical records in accordance with HIPAA.

Education
High School Diploma or GED required

Experience
Basic knowledge keyboarding and Microsoft Office required

Minimum 1 year of experience required

Previous physician office experience required

Qualifications
Must demonstrate patience and good judgement.

Must have excellent grammar, effective communication skills, and present a professional image.

Must have working knowledge of health insurance and be comfortable with navigating coverage sites.

Knowledge of EMR system preferred.

Benefits

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

• A Zero-Deductible Health Plan
• Dental and vision insurance
• Generous Paid Time Off
• Tuition Assistance
• Retirement Savings Match
• A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
• Membership to Healthy U: An Incentive-Based Wellness Program

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer, visit valleyhealthbenefits.com .