Authorizations Specialist - Asheville, United States - EmergeOrtho

Description

EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care. With offices across North Carolina, the Authorizations Specialist reviews insurance benefits and obtains preauthorization for surgeries or procedures. This is an in-office position.

• Responsibilities include, but are not limited to:
• Make calls to insurance companies for necessary authorization of services for patient appointments.
• Utilize online services from insurance companies to obtain authorizations and/or gather information regarding patients' coverage for services.
• Process all items for review in the practice management system and assigned to the department and/or third party software.
• Handle all calls and/or written inquiries regarding appointment service authorizations through resolution.
• Research, correct and re-file any denied or rejected authorization to maximize reimbursement.
• Ensure authorizations are up to date, entering authorizations into EHR, scanning and linking authorizations to the patient's chart.
• Extensive scheduling coordination with specialist and ancillary departments is needed.
• Contact patient insurance provider to obtain authorization and confirm eligibility status and verify patient's insurance coverage to include deductibles, out of pocket maximums, etc.
• Document all information obtained in the practice management system to adequately relay said information to all staff and/or third party software.

Requirements

Educational Requirements:

• High school diploma or equivalent is required;
• A minimum of 3 to 5 years of experience in a medical office environment is preferred

Qualifications and Experience

• Strong customer service skills
• Ability to positively interact with providers, staff, patients and their family members.
• Ability to work in a fast-paced environment
• Ability to prioritize and handle multiple tasks and demands
• Sound interpersonal skills
• Strong organizational skills
• Strong computer skills