Insurance Authorization Specialist Job Description Template
Our company is looking for a Insurance Authorization Specialist to join our team.
Responsibilities:
- Coordinate completion of prior authorization, if needed;
- Obtaining detailed benefits for ordered test;
- Verifying patient’s insurance eligibility;
- Submit requested medical documentation to insurance companies;
- Troubleshoot authorization related issues in the Practice Management System;
- Work with insurance plans to pre-authorize and re-authorization of patient services;
- Maintain contact management regarding status of authorization and any additional documentation or information needed;
- Verification of eligibility and benefits;
- Other duties as assigned (e.g., quarterly reporting);
- Enter current authorizations into the Practice Management System;
- Respond to internal/external inquiries relating to authorizations;
- Follow up on insurance authorizations.
Requirements:
- Excellent written and verbal communication skills;
- Excellent interpersonal skills;
- Health insurance or behavior healthcare experience preferred;
- At least 1 year of previous experience in insurance verification and authorizations required;
- Knowledge of CPT, HCPCS, ICD-10 codes a plus;
- Proven customer service skills;
- Excellent interpersonal, written and oral communications skills required;
- Ability to work in a professional and confidential capacity;
- Exceptional attention to detail;
- Ability to work with sensitive or confidential information;
- Able to work in a fast paced and high volume environment;
- Excellent analytical skills required;
- Basic proficiency with Microsoft Word/Excel;
- Prior pre-authorization and authorization knowledge/experience;
- Knowledge of Behavioral Health preferred.