Medical Authorization Specialist
il y a 2 semaines
At Rooted Life, we're dedicated to providing compassionate and innovative solutions to those experiencing homelessness, recovering from hospital stays, or facing housing challenges. Our mission is to guide individuals through the journey of finding and securing safe, stable homes. We offer essential services including financial assistance for initial housing costs and ongoing support to maintain stable living situations. Additionally, we provide temporary residential care for those with medical or behavioral health needs but without stable housing. Our commitment to these causes has established us as a beacon of hope and support in the community.
The Role
We're seeking a highly skilled Authorization and Billing Specialist to join our team. As a key member of our financial workflow, you'll be responsible for ensuring a patient's visit is financially secured. This role requires proficient communication and the ability to handle insurance verification, notification, and authorization, as well as communicating patient financial responsibilities and other patient access operational activities.
Responsibilities
- Data Accuracy: Collects and reviews patient demographic and insurance data as part of the authorization process.
- Documentation Management: Collects and submits all necessary documentation and diagnoses needed for authorizations.
- Follow-Up Expert: Provides daily updates on the status of authorization requests to ensure optimum service delivery.
- Reimbursement Maximiser: Focused on ensuring maximum reimbursement through meticulous billing and coding for all services rendered.
- Claims Specialist: Manages the full claims process in our EHR, from creation to follow-up, handling insurance inquiries with expertise.
- HIPAA Guardian: Upholds the strictest confidentiality and adheres to all HIPAA regulations.
- Insurance Liaison: Confirms and documents the patient's health insurance details, including effective dates, network status, and coverage requirements.
- Problem Solver: Utilizes problem-solving skills to address any issues arising from insurance coverage or prior authorizations.
- Knowledge Maintainer: Keeps updated with contract limitations and details for each Managed Care Plan (MCP) and stays informed about the services and programs offered by Rooted Life.
Requirements
- At least 5 years of experience within a Authorizations and/or Medical Billing role, within the Healthcare industry.
- Working knowledge of Medical Billing, Revenue Cycle Management (RCM) and Insurance Authorizations and have developed processes in one or all of these areas.
- Strong analytical skills and comfortable dealing with numerical data.
- Highly goal driven and work well in fast-paced environments.
- Pays strong attention to detail and delivers work that is of a high standard.
- Knowledge of insurance verification, prior-authorization, and office coordination.
What's on Offer?
- Opportunity within a company with a solid track record of performance.
- Opportunity to make a positive impact.
- Leadership Role.
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