Authorization Specialist

• Perform patient registration, scheduling, and insurance verification duties
• Answer patient phone calls professionally and efficiently
• Register and schedule patients for online and in-office appointments
• Schedule, change, and update patient appointments
• Interview patients for demographic information
• Evaluate eligibility and collect co-pays and deductibles
• Contact insurance carriers to verify eligibility, benefits, and requirements
• Request, track, and obtain pre-authorization for medical and therapy services
• Process insurance authorizations and update patient records
• Research referrals for approval or denial and identify diagnoses using CPT and ICD-10 coding
• Operate online insurance verification websites
• Communicate insurance changes or trends to the team
• Respond to patient inquiries and scheduling requests
• Participate in departmental Performance Improvement activities
• Document communications and contacts with providers and personnel according to standardized requirements
• Educate patients and coworkers about the preauthorization process and coverage information
• Use scheduling, EMR, and other computer software to understand and communicate patient needs
• Report required information and unusual occurrences according to policies and procedures
• Participate in orientation programs
• Ensure compliance with regulatory and CAO guidelines, policies, and procedures
• Perform other assigned duties

Requirements

• High School Diploma or equivalent
• 1–2 years of medical office experience preferred
• Proficient knowledge in medical terminology
• Above average spelling and typing skills
• Proficient computer software, including online insurance websites and DASH
• Database skills
• Proficiency with Microsoft Office suite of products
• Experience collaborating across multiple functions
• Experience innovating in a fast-growing work environment and dealing with ambiguity
• Strong interpersonal skills
• Ability to organize, prioritize, and manage multiple tasks in a dynamic environment
• Strong oral and written communication skills
• Excellent self-discipline and patience
• Ability to work independently
• Excellent time management, organization, and administrative support skills
• Must be able to read, write, speak, understand, and communicate in English
• Must be able to sit for long periods and lift up to 25 pounds
• Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting
• Adequate hearing and visual acuity to perform job duties
• Ability to communicate clearly with patients in person and by telephone
• Core Competencies

Demonstrates proficiency in patient registration, scheduling, and insurance verification while effectively communicating with patients and insurance carriers.

Capable of managing multiple tasks in a dynamic medical office environment with strong organizational and administrative skills.

• Highest-signal resume keywords
• Patient Registration
• Insurance Verification
• Medical Terminology
• Microsoft Office Suite
• Communication Skills
• Hard Skills
• CPT Coding
• ICD-10 Coding
• Database Skills
• Online Insurance Verification
• Scheduling Software
• Soft Skills
• Interpersonal Skills
• Time Management
• Organizational Skills
• Self-Discipline
• Patience
• Industry Keywords
• Patient Scheduling
• Insurance Authorization
• Performance Improvement
• Regulatory Compliance
• Demographic Information
• Tools & Technologies
• EMR Software
• DASH Software
• Computer Software
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