About this position
Urology office is looking for a qualified and experienced Authorization Specialist in our fast-paced out-patient urology clinic. This position could be filled in either Gilbert or Phoenix.
Schedule: Full-time, Monday through Friday day shift position.
Essential Duties and Responsibilities:
- Enter patient demographic including insurance into the computer system.
- Works patient accounts out 3-5 days.
- Determine authorization status by confirming in computer and chart previous notation regarding expiration date(s) and confirming drug(s) for treatment including injections.
- Provide the Benefits Coordinator with any new information on insurance coverage and/or new drugs added to protocols.
- Confirm the correct insurance from review of computer and chart.
- Obtain authorization for patient visits and treatment in the office prior to DOS.
- Record in chart and in computer the number of visits, detailed description of the authorization, the expiration date, and name of the insurance carrier.
- Recheck authorization(s) every 6 months if no activity has occurred with treatment. Run reports of authorizations that are terming prior to treatments.
- Complete working knowledge of all insurance company requirements as they relate to authorization.
Knowledge and Skills:
- Knowledge of insurance company’s procedures and policies.
- Knowledge of governmental, legal and regulatory provisions related to HIPAA.
- Knowledge of chemotherapy related drugs and supplies utilized.
- Knowledge of diagnostic testing and radiation procedures.
- Knowledge of CPT, ICD-9, HCPCS coding.
- Knowledge of basic mathematics.
Education and Experience:
- Minimum of 2 years authorizations experience.
We offer a competitive salary and a comprehensive benefit package including health/dental/vision and life insurance, 401K, and a caring work environment. We are an E.O.E.