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Job Summary :
The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information is coded correctly to obtain authorizations for maximum reimbursements.
Minimum Qualifications :
Associates Degree and three years relevant patient financial / insurance services experience (preferably in a healthcare setting) or equivalent combination of education and experience.
Working knowledge of medical terminology, familiarity with medical coding and written / oral communication skills required.
Ability to maintain good public relations with patients, families, co-workers and other individuals as necessary.
Preferred Qualifications :
Prior experience working with ambulatory patient care administrative functions, collecting / analyzing data, organizing appropriate record keeping systems and outside agencies such as insurance carriers, CMS, billing companies and / or other support agencies preferred.
Knowledge of medical billing requirements and ability to recognize insurance fraud / abuse strongly preferred. Experience with medication reimbursement, medications, physician orders and insurance claim submission.
Experience with healthcare insurance prior authorization / coding and performing insurance carrier / managed care review preferred.
Work Days :
Monday-Friday, 8 : 00a-4 : 30p
Message to Applicants :
RecruitmentOffice : Human Resources
Executive Order :
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation.
If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.
Last updated : 2024-05-01
Full Time
$87k-107k (estimate)
05/03/2024
05/20/2024
mediabistro.com
New York, NY
100 - 200
The job skills required for Authorization specialist include Patient Care, Oral Communication, Billing, Prior Authorization, etc. Having related job skills and expertise will give you an advantage when applying to be an Authorization specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Authorization specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Authorization specialist positions, which can be used as a reference in future career path planning. As an Authorization specialist, it can be promoted into senior positions as a Medical Policy Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization specialist. You can explore the career advancement for an Authorization specialist below and select your interested title to get hiring information.
If you are interested in becoming an Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Authorization Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Authorization Specialist job description and responsibilities
Updates patient insurance and demographics information as needed.
03/31/2022: Florence, SC
Request, follow up and secure prior-authorizations prior to services being performed.
03/30/2022: Rochester, NY
Complete authorizations and referrals for services, including appointments and procedures.
01/29/2022: Clarksville, TN
Monitors incoming patient orders and gathers information needed to complete the pre-authorization and scheduling of an order
03/22/2022: Ann Arbor, MI
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
01/29/2022: York, PA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Authorization Specialist jobs
There are great benefits to having a Prior Authorization Certified Specialist on staff to help with the administrative process.
03/31/2022: Greensboro, NC
Give credence to customer complaints.
02/08/2022: Salem, OR
Create a quick reference guide of your payor contacts
04/11/2022: Cincinnati, OH
Authorization Specialist assist with other clerical tasks as needed.
01/22/2022: Lincoln, NE
Licenses and certifications are not usually required to work as a prior authorization specialist.
03/09/2022: Bremerton, WA
Step 3: View the best colleges and universities for Authorization Specialist.