Authorization Specialist
$35,402–$59,030 year
On-siteTallahassee, Florida, United States
Job Summary
Submit accurate and timely authorization requests to insurance companies and payers while ensuring proper setup and maintenance of patient accounts. Obtain and review clinical documentation to verify medical necessity, utilizing basic medical coding, diagnosis codes, and terminology in the authorization process. Communicate with healthcare providers to gather required information, verify insurance benefits and eligibility, and monitor request status to follow up as needed. Maintain detailed records, ensure compliance with payer requirements, and collaborate with billing and claims teams to resolve authorization issues.
Required Qualifications
- High school diploma or equivalent
- Ability to multi-task and support numerous referrals/priorities at one time
- Ability to work in a fast paced environment
- High degree of self-discipline in maintaining productivity expectations
- Detail-oriented
- High degree of quality focus
- Solid understanding of basic medical coding
- Solid understanding of diagnosis codes
- Solid understanding of medical terminology
- Strong attention to detail
- Organizational skills
- Ability to work collaboratively with healthcare providers and payers
Desired Qualifications
- Healthcare/medical billing experience
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