Hillsboro, Oregon, Oregon
Baltimore, Maryland
Salem, Virginia, Virginia
Aurora, Colorado, Colorado
Providence, Rhode Island, Rhode Island
Posted: 08-Jan-25
Location: Akron, Ohio
Categories:
Internal Number: 25385
Full-Time, 40 Hours/Week
Monday to Friday, 8:30am to 5pm
Remote (Training onsite for first 90 days)
Summary:
The Authorization Specialist is responsible for verifying the accuracy of insurance coverage for scheduled services and obtaining payer authorization for same.
Responsibilities:
1.Is responsible for verifying the accuracy of insurance coverage for scheduled services.
2.Obtains/secures referrals, authorization, and initiates pre certification of insurance.
3.Maintains departmental defined timely and accuracy requirements.
4.Identifies any patient responsible amounts due and refers to the Financial Counselor.
5.Other duties as required.
Other information:
Technical Expertise
1.Experience in a moderate to large healthcare hospital-based enterprise in a relevant position is required.
2.Experience in all patient/customer service aspects that demonstrate excellence in service to patients and their families. Experience working with affiliated colleagues throughout the revenue cycle related to the authorization process is required.
3.Experience working with physicians, providers and clinical staff related to the authorization process is preferred.
4.Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
5.Epic experience is preferred.
Education and Experience
1.Education: High school diploma or equivalent is required.
2.Certification: None.
3.Years of relevant experience: 3 to 5 years is preferred.
4.Years of relevant experience: 1 to 2 years is required, but may be waived if relevant industry experience can be demonstrated.
5.Years of experience supervising: None.
Full Time
FTE: 1.000000