Auth/Claim Specialist
Description:
Job Description
Description:
We are looking for an Authorization Specialist to join our Claims/Billing Department. In this role, you complete authorizations and referrals for our mental and substance use services. In addition to reviewing the medical history of potential patients, you verify information provided by their referring physicians and verify their insurance coverage. You also monitor the schedule for our add-on patients, ensuring there are no conflicts and that we have the prior authorization we need to move forward with their appointment or procedure. While we prefer candidates who have an associate degree in medical coding or a related field, we will consider anyone with experience in medical billing or insurance authorization.
Requirements:
Duties and Responsibilities
Complete authorizations and referrals for services, including appointments and procedures
Review patient's medical history and insurance coverage for approval
Check for eligibility, copays and deductibles
Contact referring physicians for additional information as needed
Input new patient information and update information in our system
Monitor schedule for potential issues
Complete billing documentation
Scrub, fix and resubmit denied claims
Complete manual and auto posting to balance patient's account
Assist with other clerical tasks as needed
Requirements and Qualifications
High school diploma or GED certificate
Associate degree (a plus)
Some experience in medical billing or insurance authorization (strongly preferred)
Knowledge of medical terminology
Basic computer skills
Attention to detail
Full-time