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    Authorization Specialist - Jacksonville, United States - Jax Spine & Pain Centers

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    Full time
    Description
    We are looking to hire an Authorization Specialist who will be responsible for processing and verifying all patient authorizations; providing excellent care and collaborating effectively with all departments. Please note that this is a Full-time position.

    Essential Functions:
    • Obtains and reviews authorization requests and follows the referral processes. Utilizes multiple computer programs to validate insurance eligibility and insurance requirements.
    • Contact insurance companies to verify benefits and obtain pre-certification and/or authorization when required.
    • Accurately enters authorization and /or pre-certification information into the computer system and attaches authorization.
    • Ensures appropriate feedback and follow-up with all authorization and /or pre-certification requests.
    • Processes referrals for authorization within time frames set by regulatory or company policy.
    • Locates and refers patients to appropriate providers and/or facilities.
    • Communicates efficiently and effectively with other providers' offices, insurance companies, and patients.
    • Notify patients when the outgoing referral process is completed and enter appropriate documentation into the patient's electronic medical chart.
    • Responsible for all communicative referral information (i.e. faxes, e-mails, telephone calls)
    • Closes check out at the end of the day.
    • Processes and verifies new patient referrals in a timely manner.
    • Documents work processes as required.
    • Always act in a friendly manner toward all patients, family members, coworkers, and other internal or external customers.
    • Maintains confidentiality of information on patients.

    Qualifications:
    • High school diploma or equivalent required.
    • Previous experience as a referral coordinator or background in general office work is preferred.
    • Ability to comprehend and follow established office routines and policies.
    • Understanding of insurance carriers' plans and guidelines.
    • Demonstrated working knowledge of medical terminology, CPT, and ICD-9 codes.
    • Good Computer skills including Microsoft Office products.
    • Strong oral and written communication skills.
    • Ability to multi-task efficiently and effectively.
    • Good interpersonal and organizational skills.
    • Highly detail-oriented.
    About Jax Spine & Pain Centers:

    ABOUT OUR PRACTICEWe are proud to be the leading providers of progressive interventional pain relief.Our team of board-certified physicians and medical staff are highly trained in all areas of diagnosis, treatment, and patient care.LOOKING FOR A CAREER IN THE MEDICAL FIELD?Apply today and have the potential to join Northeast Florida's Leading Interventional Pain Management Specialists. At Jax Spine & Pain Centers, we provide our patients with superior solutions to treat acute and chronic pain.Now serving multiple locations, our board certified physician's along with our professional staff value hands-on compassionate care, from the consultation through treatment. Please see the list below for our current openings. We seek qualified, highly energized and self-motivated individuals who respect the essence of time and appreciate the value of a smile.We are always accepting resumes for the following positions:Medical assistantsDME techniciansMedical billing/AR specialistsCall center customer service representatives.



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