Authorization Specialist

Job Description

Job Description

Medical Insurance Authorization Specialist

Olympic Sports & Spine (OSS) is looking for a full-time , experienced medical insurance benefits Authorization Specialist to join our growing, fast-paced medical billing office.

Olympic Sports & Spine (OSS) is known for its fun and energetic work environment and for valuing its employees . We offer a comprehensive benefits package including medical, dental, vision, paid vacation, sick time off, 401(k), and more...

The schedule is Monday through Friday (no weekends) from 8 am to 5 pm .

SUMMARY OF DUTIES :

Process all activities related to authorizations for assigned locations.

This individual must be highly skilled in time management to ensure patients receive timely pre-authorizations from insurance carriers. This role will support front office staff, therapists, and billing staff.

JOB RESPONSIBILITIES :

• Review referrals for accuracy and completeness before processing to ensure carriers can expedite prior authorization.
• Consult with therapists and office staff to obtain medical documentation to ensure the plan of care is consistent with the diagnosis and referrals on file.
• Closely monitor the status of authorization and perform frequent follow-up calls with insurance.
• Create authorization records and ensure information is appropriately documented and communicated.
• Ensure authorizations are complete for the next day's patients, or if unable to obtain, properly communicate to the office staff / therapist.
• Manage correspondence and provide detailed notes in the EMR system of all communication with insurance companies, patients, clinic staff, and billing staff.
• Execute prior authorization workflow, policies, and procedures.
• Secure patients' demographics and medical information by using great discretion and ensuring all procedures are in sync with HIPAA compliance and regulation.
• Performs other duties as needed.
• Participates in educational activities and attends monthly staff meetings.

Equal Opportunity Statement

We are an equal opportunity employer and value diversity at our company. We do not discriminate based on age, ancestry, citizenship, color, ethnicity, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or invisible disability status, political affiliation, veteran status, race, religion, or sexual orientation.

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