Authorization Specialist

Job Responsibilities

Submit accurate and timely authorization requests to insurance companies and payers

Ensure proper setup and maintenance of patient accounts in the system

Obtain and review clinical documentation to verify medical necessity

Communicate with healthcare providers to gather required information for authorizations

Verify insurance benefits and eligibility for services

Monitor the status of authorization requests and follow up as needed

Ensure compliance with payer requirements and regulations

Utilize basic medical coding, diagnosis codes, and medical terminology in the authorization process

Maintain detailed records and documentation for all authorizations

Collaborate with billing and claims teams to resolve any authorization-related issues

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No

Basic Education and/or Experience Requirements

High school diploma or equivalent is required.

Basic Qualifications

Ability to multi-task and support numerous referrals/priorities at one time.

Ability to work in a fast past environment.

High degree of self-discipline in maintaining productivity expectations.

Must be detail-oriented and have a high degree of quality focus.

Travel Requirements: (if required)

N/A

Preferred Qualifications & Interests (PQIs)

Healthcare/medical billing experience preferred.

Pay Range

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $19.57-$32.63

Benefits

-Medical, Dental, & Vision Insurance

-Paid Time off

-Bonding Time Off

-401K Retirement Savings Plan with Company Match

-HSA Company Match

-Flexible Spending Accounts

-Tuition Reimbursement

-myFlexPay

-Family Support

-Mental Health Services

-Company Paid Life Insurance

-Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.