Authorization Specialist

This is a fully remote position, open to applicants in Maryland.

📋 Description

• Conduct patient registration, appointment scheduling, and insurance verification tasks.

• Respond to patient phone inquiries in a professional and efficient manner.

• Register and arrange appointments for patients both online and in-person.

• Schedule, modify, and update patient appointments as necessary.

• Gather demographic information by interviewing patients.

• Assess eligibility and collect co-pays and deductibles from patients.

• Reach out to insurance providers to confirm eligibility, benefits, and requirements.

• Request, monitor, and secure pre-authorization for medical treatments and therapy services.

• Process insurance authorizations and maintain updated patient records.

• Investigate referrals for approval or denial and utilize CPT and ICD-10 coding to identify diagnoses.

• Utilize online insurance verification platforms effectively.

• Inform the team about changes or trends in insurance.

• Address patient inquiries and scheduling requests promptly.

• Engage in departmental Performance Improvement initiatives.

• Document interactions and communications with providers and staff according to established standards.

• Educate patients and team members about the preauthorization process and coverage details.

• Utilize scheduling, EMR, and various software to assess and convey patient needs.

• Report essential information and unusual incidents in line with policies and procedures.

• Take part in orientation programs.

• Ensure adherence to regulatory and CAO guidelines, policies, and procedures.

• Carry out other assigned responsibilities.

⛳️ Requirements

• High School Diploma or its equivalent is required.

• 1–2 years of experience in a medical office setting is preferred.

• Strong understanding of medical terminology.

• Above-average spelling and typing capabilities.

• Proficient in computer software, including online insurance platforms and DASH.

• Experience with database management.

• Proficiency in Microsoft Office Suite.

• Ability to collaborate effectively across various functions.

• Experience in an innovative, fast-paced work environment and managing ambiguity.

• Strong interpersonal abilities.

• Capability to organize, prioritize, and handle multiple tasks in a dynamic setting.

• Excellent oral and written communication skills.

• High levels of self-discipline and patience.

• Ability to work independently.

• Outstanding time management, organizational, and administrative skills.

• Must be able to read, write, speak, understand, and communicate in English.

• Must be able to sit for extended periods and lift up to 25 pounds.

• Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting.

• Adequate hearing and visual acuity to perform job functions.

• Ability to communicate effectively with patients both in person and over the phone.

🏝️ Benefits

• Full-Time employment.

• Option for remote work.