Action Seating and Mobility · 21 hours ago
CRT Authorizations Specialist
Tulsa,OK,US
Full-time
Onsite
Mid Level
$17/hr - $21/hr
3+ years expAction Seating and Mobility is dedicated to empowering individuals with disabilities through the use of cutting-edge mobility technology. The CRT Authorizations Specialist will collaborate with medical professionals to ensure appropriate reimbursement for mobility equipment, focusing on submitting and managing authorizations with various payers.
Health CareMedicalMedical DeviceSupply Chain Management
Responsibilities
Submit medical documentation for authorizations with Medicaid, Medicaid Managed Care Organizations (MMCOs), Private and Third-Party Payers
Follow up on authorizations and submit appeals
Knowing CRT HCPCs codes and reimbursement policies for those codes for varying payers
Working with TEAM members to educate and facilitate obtaining medical documentation per reimbursement policies
Price & Code encounters in Atlas to create paperwork
Compile documentation to be submitted from claims and appeals
Learn to process insurance claims for CRT, and be back up to the Billing TEAM Lead
Learn to read EOBs/ERNs and understand denial reason codes
Posting payments and working with payment processing to identify improper payment
Working aging to pursue payment for open balances to ensure proper payment
Enhances company reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments
Attends regularly scheduled TEAM Meetings
Qualification
Required
High school diploma/GED required
2+ years of experience submitting and receiving authorizations from Medicaid required
3+ years of Durable Medical Equipment billing required to include Medicaid
Knowledge of medical terminology, Medicare LCD, HCPCS, and diagnosis codes required
Strong written and oral communication skills including strong phone acumen to effectively communicate across diverse populations including patients, parents/caretakers and healthcare professionals
Strong proficiency in using computer and computer applications, including Adobe Acrobat, creating/editing Word documents and Excel spreadsheets, conducting research using the internet, using templates, working in a company-created database, and using Outlook (email/calendar functions)
Ability to learn and retain the specific criteria and requirements for different insurance plans
Preferred
Preference will be given to candidates who have verifiable experience submitting authorizations for Complex Rehab Technology
Preference will be given to candidates who have verifiable experience submitting claims to Medicare & Medicaid for Complex Rehab Technology
Company
Action Seating and Mobility
Action Seating and Mobility is a medical equipment supplier that provides power and manual wheelchair products.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase