SB CLINICAL PRACTICE MANAGEMENT PLAN INC ยท 8 hours ago
Authorization Specialist, Lead
United States
Full-time
Remote
Senior Level
$22.49/hr - $28.10/hr
3+ years exp
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Responsibilities
Helpful resource to staff by providing guidance and information regarding the authorization process and workflow in office and by payer.
Train new employees hired to obtain authorizations.
Cover other authorization areas when needed.
Access the referrals and authorizations via the internet.
Update and inquire as to those insurances that are not on the internet.
Obtain authorizations for CAT scans and other radiological procedures.
Validate patient insurance.
Contact patients concerning referrals or down payment for self pays.
Inform self pays of UH financial aid applications and Medicaid applications.
Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers, concerning referrals or issues with obtaining referrals.
Ensuring the approvals for the authorizations are in the EMR and CERNER systems.
Ensure all data are accurately documented in the EMR and scanned into CERNER.
All other duties as assigned.
Qualification
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Required
High School diploma/GED.
3 year of administrative experience in a medical office setting.
Prior pre-authorization or obtaining referrals process experience.
Strong organizational and communication skills (both verbal and written).
Excellent typing skills and friendly telephone etiquette.
Microsoft Office proficiency.
Preferred
EMR experience.
Experience with patient scheduling.
Experience with managed care companies.
Bilingual speaking.
Company
SB CLINICAL PRACTICE MANAGEMENT PLAN INC
At SB Clinical Practice Management Plan, Inc.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Lisa Layton
Chief Financial Officer
Company data provided by crunchbase
