Authorization Clerk

This is a US based remote position. It requires daytime hours Monday-Friday. There will be a set training schedule for the first two weeks. After the training schedule, this position will require a start time between 5am and 7am MST.

Responsibilities

• Verifies patient insurance coverage timely utilizing phone or online resources
• Requests missing documents/information when needed via phone or fax to clinicians
• Handles any discrepancies with eligibility or demographic errors by interacting with clinicians and patients
• Collaborate and provide process improvement suggestions to Supervisor and management
• Participates in educational activities and attends regular staff and department meetings.
• Exhibit and manage excellent turn-around time in order to ensure timely authorizations.
• Demonstrate flexibility to perform duties wherever volume deems it necessary.
• Document activities appropriately in process notes.
• Participates in the Quality Assurance plan.
• Complies with applicable CLIA and HIPAA regulations.

Qualifications

• High school diploma or GED equivalent required.
• 1-3+ years of experience working in support role within medical billing, health insurance or collections with demonstrated results preferred.
• Good problem solving and decision-making skills.
• Excellent customer service and phone skills.
• Excellent time management, organizational, communication, multitasking and teamwork skills.
• Working knowledge of ICD-10, CPT and HCPCS coding (preferred but no required).
• Ability to successfully navigate between multiple systems throughout the course of the work day this includes but is not limited to billing software, written Standard Operating Procedures and payer portals.

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