Job Details

The Authorization Specialist verifies benefits and eligibility for care in the outpatient setting including insurance pre-authorization if indicated. Communicates with the patient, eligibility, co-pay amounts, out of pocket expenses and facilitates payment plan options if necessary. This process assures bills for services will be paid promptly. Ensures efficient operation and effective reimbursement of third party account receivables. Researches accounts, corrects provider coding as needed, abstracts information from medical chart and refiles or appeals claims denied for coding-related reasons. Submits additional medical documentation and tracks account status. This role has work from home availability for the right candidate.

This is independent, highly detailed and important work requiring focus and attention. The Authorization Specialist is on the forefront ensuring that the information they provide to patients and staff of the centers is complete, accurate and timely. This provision of information is crucial to the efficient operation of the centers.

Must complete and pass required medical screening, background checking and drug test