The Authorization Specialist is responsible for obtaining, documenting, and attaching authorizations to encounters prior to billing for E&M services and procedures. This role supports revenue and billing operations and reports directly to the Revenue Cycle Manager.
Key responsibilities include:
- Verify patient insurance information before researching authorizations.
- Determine whether authorization is required for services.
- Attach authorization numbers to patient accounts, unbilled claims, and rebill claims when missing from the initial claim.
- Follow up on required authorizations for billed claims that can be backdated.
- Resolve denials related to missing authorizations and determine claim viability.
- Contact facilities to determine whether services can be covered under a facility authorization number.
The position is classified as non-exempt and follows a Monday-Friday day shift.
Requirements & Qualifications
Education and experience
- High school diploma or equivalent
- 1 year of experience in a healthcare billing setting
Qualifications
- Knowledge of insurance billing guidelines
- Prior experience with authorizations and tools used to obtain them, such as insurance portals
- Detail oriented, analytical, flexible, and self-motivated
- Proficiency with Microsoft Outlook, Word, and Excel
- Strong organization and multitasking skills in a fast-paced environment
- Ability to work independently and in a team setting
- Ability to type 45+ words per minute
Physical requirements
- Communicate by telephone
- Use hands and fingers to operate a computer and telephone
- View computer screens for extended periods
- Sit at a desk for extended periods
- Maintain regular and predictable attendance
Location
Maryland, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago