Authorization Specialist I, RCM

Authorization Specialist

The Authorization Specialist is a position that performs the authorization requests for all insurances. This employee reports directly to the Authorization Manager, RCM.

Duties/Responsibilities:

• Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients and monthly on patients with non-Medicaid insurances and the beginning of each month where prior authorization is not required
• At the beginning of every new year, obtaining details on eligibility, patients deductible and out of pocket costs
• Communicating any patients that will have a patient responsibility with the appropriate staff so they can verify the patient will want services and to inform field staff to correctly fill out the consents
• Tracking and obtaining all authorizations for all locations, along with reauthorization throughout duration of patient care
• Data entering all authorization information into the system
• Verifying accuracy in payor setup in EMR for all active policies
• Maintain electronic record of all authorizations
• Run reports daily, weekly, and monthly for department
• Communicate with both internal and external customers to ensure authorizations are utilized accurately
• Performs other duties as assigned

Required Skills/Abilities/Knowledge:

• Excellent verbal and written communication skills with ability to communicate across all levels of field-based leadership
• Demonstrates high degree of organization and problem solving
• Able to effectively deal with change
• Able to complete projects and tasks within specific timetables
• Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner
• Requires the ability to communicate verbally and in writing and to maintain confidentiality of sensitive information
• Requires the ability to use logical and scientific thinking to interpret technical data and solve a broad range of problems including the ability to use complex techniques to assess situations
• Requires the ability to interpret, adapt and react calmly under stressful conditions
• Must be able to relate cooperatively and constructively with clients and co-workers

Education/Experience/Licenses/Certifications:

• High School Diploma or Equivalent

Benefits + Perks of Joining the Team Select Family

• Medical, Dental, and Vision Insurance
• Paid Time Off and Paid Sick Time
• 401(k)
• Referral Program

Pay Range: $18 - $21 / hour