Authorization Specialist / Healthcare

Job Description Job Description Hybrid role, 1+ years related experience, top Gastro practice, Temp to hire or direct hire for experienced candidates, open to both Obtain pre-authorizations for gastro procedures (colonoscopy, endoscopy, ERCP, capsules, etc.) – they will need to understand CPT and ICD codes. Must have a comprehensive knowledge of insurance carrier policies and procedures – insurance will often provide incorrect/misinformation (such as no authorization required). They must have the knowledge to push back and question what they’re told Our company policy is they must be two weeks ahead of the scheduled procedures as authorization requests can be delayed/take longer than expected – this requires speed. Eligibility verification for all patients being seen each day using various portals – our EMR (ECW), Navinet, Availity, E-tactics, etc. We are a very busy practice – they need to have an element of speed to keep up with the eligibility and authorization requests The ability to comprehend and explain patient benefits – deductibles, coinsurance, copays, any patient responsibility They will be calling patients to explain these benefits prior to their procedures – they need to have customer service skills and be able to explain and answer questions regarding patient benefits/financial responsibility The ability to effectively communicate with providers, staff, and patients – both written and oral. They will be sending many emails to providers and staff regarding authorization requests, they are also communicating with patients regularly. They will be a representation  to both our physicians and patients and must present themselves professionally. Company Description Leading Healthcare Institution Company Description Leading Healthcare Institution