Authorization Specialist

Overview Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Talent Acquisition Partner to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment. Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities. Why Choose Fast Pace Health? Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Talent Acquisition Partner you can be! We will help you grow your professional goals, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community. Responsibilities Essential Functions Receive, review, and process provider Authorization requests accurately and timely. Verify patient demographic and insurance information prior to processing authorizations. Obtain prior authorizations and referrals as required by insurance carriers. Duties include, but is not limited to, scheduling appointments with specialty providers. Duties include, but is not limited to, coordinating referrals for diagnostic testing, imaging, therapy, and specialty consultations. Communicate referral status and appointment information to patients and referring providers, when applicable. Monitor referral work queues to ensure referrals are completed within established service level expectations. Follow up on pending authorizations and referrals to minimize delays in patient care. Maintain accurate documentation within the Electronic Health Record (EHR). Resolve authorization denials by obtaining additional documentation or working with providers and payers as appropriate, when applicable. Collaborate with clinical staff, providers, revenue cycle, and scheduling teams to improve referral efficiency. Maintain knowledge of payer guidelines, referral requirements, and authorization processes. Maintain compliance with HIPAA, company policies, regulatory requirements, and complete all required compliance training while protecting patient and organizational confidentiality. Participate in departmental meetings, quality improvement initiatives, and ongoing training. Deliver exceptional customer service by professionally resolving concerns, utilizing conflict resolution skills, and escalating issues to management when appropriate. Foster positive, professional relationships with patients, providers, co-workers, and leadership while promoting a respectful, collaborative work environment. The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands. Ability to comply with Company standards of operations. Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness. The ability to promote and maintain a respectful culture of employee, employer and business confidentiality. Non-Essential Functions Perform other duties as assigned by management. Experience Requirements and Preferences Basic Requirements: Education High School Diploma or equivalent required. Associate’s Degree in related field preferred. AND Experience At least two years of Administrative Support or Front Office experience in a health care system. Education Requirements High School Diploma or Its Equivalent Compliance Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct. Please refer to the links below for information regarding your rights under certain federal laws: .pdf Mississippi Residents Only: In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5). Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia. #J-18808-Ljbffr