Authorization Specialist (Hybrid Remote)

Authorization Specialist

We are looking for an Authorization Specialist to join our team!

Hourly Rate: $18.50 per hour

Job Type: Full Time

Position is hybrid remote after 6 months of continuous employment. This position is 3 days remote and 2 days in-office.

Location: Forked River, NJ & Hybrid Remote

Thompson Healthcare & Sports Medicine (THSM) recently partnered with Atlantic Health Systems in an effort to grow our medical neighborhood, and our plan is to grow that medical neighborhood fast! With a goal to get patients out of pain and keep them out of pain; THSM has effectively achieved an extremely high satisfaction rate from our patients. Located throughout New Jersey, THSM takes a multi-disciplinary approach to patient care by offering a variety of treatments and services including but not limited to: Acupuncture, Chiropractic, Physical Therapy, Occupational Therapy, Massage Therapy and Physical Medicine services. Each discipline works together with years of experience to find the best possible treatment program for our patients. THSM is looking for team members who want to make a difference in people's lives through high-quality treatment and unprecedented care for our patients' outcomes.

Office Hours: Monday to Friday - 9:00 AM to 5:30 PM

*Weekends are not required.

*Position is hybrid remote after 6 months of continuous employment.

Required Qualifications:

• High school diploma or equivalent
• Basic computer operation and navigation and Microsoft Office (Outlook, Teams, OneDrive, Word, Excel, etc.)

Preferred Qualifications:

• 3+ of experience in medical billing
• Certification in medical billing or medical coding
• Prior knowledge of in-network and out-of-network health insurances
• General knowledge of medical coding
• General knowledge of medical terminology
• General knowledge of anatomy and physiology
• Prior use of Epic, EMR systems, scheduling software

Job Duties (Including but not limited to):

• Obtain authorizations for medical procedures and services
• Have a general knowledge of authorization guidelines for common insurance companies
• Research benefits and eligibility to confirm authorization requirements
• Create and maintain patient records in OneDrive and Epic
• Enter patient and authorization information in current shared spreadsheets and Epic
• Correspond with insurance companies via phone call, web portals, email, fax, etc.
• Receive and document insurance benefits for patients from insurance companies
• Keep open communication with providers and offices
• Correspond with patients and external offices
• Must be able to handle low/medium/high office noise levels
• Must be able to sit for extended periods of time

Benefits:

• Bonus opportunities
• Medical / Dental / Vision
• 401k with a company match
• Generous PTO package
• Ancillary benefits including:
• Disability
• Accident coverage
• Life Insurance
• and more