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Authorization Specialist

Remote:

Full Remote

Contract:

Full time

Salary:

19 - 19K yearly

Experience:

Junior (1-2 years)

Work from:

United States

Offer summary

Qualifications:

High School Diploma required; college degree preferred., 1+ years of revenue cycle experience., Experience in Nextech and Ophthalmology., Proficient with spreadsheets, word processing, and database software., Good analytical skills and attention to detail..

Key responsabilities:

Monitor department schedules and submit medical authorizations.
Review clinical documentation and communicate with insurance companies.
Manage outstanding authorization accounts to increase clean claims.
Provide customer service and maintain relationships with clients.
Document all account activity and report issues.

Assembly Health

201 - 500 Employees

See more Assembly Health offers

Job description

Become an Assembler! We are looking for an Authorization Specialist to join our Physician RCM division. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

This is a full-time, non-exempt position reporting to our Physician RCM Executives.

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What you'll do

Remotely access and monitor department schedules on an ongoing basis through the day for multiple outpatient hospital departments.
Responsible for the timely submission of medical authorizations to cover physician and hospital services.
Review clinical documentation and relay pertinent information to insurance companies to ensure all services are authorized.
Document eligibility, benefits, and authorization information in accordance with established guidelines.
Research patient accounts due to invalid and/or missing authorization information and correspond with clients, insurance companies, patients, to obtain the necessary information to ensure accurate, timely, and complete claims submissions.
Verify prior authorization and/or pre-services requirements are met.
Proactively manages and maintains all outstanding authorization accounts to increase billing of clean claims.
Provide outstanding customer service to patients and develop and maintain positive working relationships with internal and external customers.
Identify and report trends and prior authorization issues relating to billing and reimbursement.
Document all account activity and correspond to inquiries, in a timely manner.
Reviews accounts daily while meeting or exceeding all daily, weekly, and monthly goals.
Communicates and works effectively with colleagues from other departments.
Maintains confidentiality of all PHI.
Performs other related duties as required or assigned.

What we're looking for

High School Diploma required; college degree preferred.
1+ years of revenue cycle experience.
1+ years of experience in Nextech and Ophthalmology.
Knowledge and skillset to review technical billing (CMS 1500 / UB 04) components provided by Client Hospital accuracy. Make necessary changes, as required, in accordance with billing laws.
Maintain account integrity by documenting account activities to ensure audit trial.
Computer literacy with spreadsheets, word-processing, and database software and/or business systems (Word, Excel, Outlook, etc.)
Good analytical skills and demonstrated attention to detail.
Knowledge of healthcare terminology
Proficient with data entry and multi-tasking
Strong communication skills: including written, grammar and verbal communication skills with ability to interact with all levels of an organization.
Team player, problem-solver, and a self-starter attitude.
Excellent time management skills and ability to adhere to schedules/deadlines.
Ability to function well in a fast-paced and at times stressful environment.
Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

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Why join the team?

Be part of something special! We are growing both organically and through acquisitions.
Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
Ongoing training and development programs
An environment that values transparency
Virtual and in-person events to connect with your team.
Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.