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 two 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. Excellent problem solving skills, computer and keyboarding skills required. This position requires strong knowledge of ICD, CPT, and J codes to effectively communicate all information to insurance carriers. 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:

Mon-Friday days

Message to Applicants:

Recruitment Office: Human Resources