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Insurance Authorization Specialist

Role overview

Qualifications

  • Excellent communication (written and oral) and interpersonal skills
  • Minimum of two years’ experience in authorization department/insurance billing/or similar department
  • Knowledge of and adherence to regulations set by HIPAA
  • Strong organizational, multi-tasking, and time-management skills

Responsibilities

  • Verification of patient eligibility and benefits
  • Reading and understanding clinical notes and/or patient charts
  • Creating authorizations if needed
  • Acting both independently and as a team member

Key facts

Hard skills

Other skills

  • Organizational Skills
  • Multitasking
  • Time Management
  • Detail Oriented
  • Social Skills
  • Computer Literacy
  • Communication
  • Problem Solving
  • Physical Flexibility

About the company

CPSI logo

CPSI

Digital Health & Health Tech

CPSI is a leading provider of healthcare solutions and services for community hospitals, their clinics and post-acute care facilities. Founded in 1979, CPSI is the parent of four companies – Evident, LLC, American HealthTech, Inc., TruBridge, LLC, TruCode, LLC, and iNetXperts, Corp. d/b/a Get Real Health. Our combined companies are focused on helping improve the health of the communities we serve, connecting communities for a better patient care experience, and improving the financial operations of our customers. Evident provides comprehensive EHR solutions for community hospitals and their affiliated clinics. American HealthTech is one of the nation’s largest providers of EHR solutions and services for post-acute care facilities. TruBridge focuses on providing business, consulting and managed IT services, along with its complete RCM solution, for all care settings. Get Real Health focuses on solutions aimed at improving patient engagement for individuals and healthcare providers. TruCode provides medical coding software that enables complete and accurate code assignment for optimal reimbursement. For more information, visit www.cpsi.com.

Company details

Company typeLarge
IndustryDigital Health & Health Tech
Company size1001 - 5000

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Job description

Job Summary:

The Insurance Authorization Specialist will perform daily tasks including: verification of patient eligibility, benefits, reading and understanding clinical notes and/or patient charts, and creating authorizations if needed.

Why join our team? 

  • Structured career development – our team of industry experts are here to support and work with you to explore your learning potential and career goals
  • 9 Company Paid Holidays
  • Company Paid Parental Leave 
  • Earned Time Off (3 weeks)
  • Comprehensive Benefits Program (Medical, Dental and Vision Insurance)
  • Company Paid Life and AD&D Insurance
  • Company Paid Short-Term Disability Insurance
  • Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance,
  • Flexible Spending or Healthcare Savings Account
  • 401K Retirement Plan with competitive employer match

Minimum Requirements:

Education/Experience/Certification Requirements:

  • Excellent communication (written and oral) and interpersonal skills.
  • Strong organizational, multi-tasking, and time-management skills.
  • Must be detail oriented and able to follow through on issues to resolution.
  • Must be able to act both independently and as a team member.
  • Minimum of two years’ experience in authorization department/insurance billing/or similar department.
  • Effective interpersonal and management skills
  • Knowledge of and adherence to regulations set by HIPAA
  • Knowledge and skills necessary to meet individual needs based on physical, psycho-social, educational, safety and other criteria appropriate for each individual patient
  • Organizational and prioritization skills and ability to use time effectively
  • Effective written and verbal communication skills
  • Proficient computer skills
  • Must be able to work in a seated position for extended periods of time
  • Must be able to focus on and read a computer screen for prolonged periods Flexibility to handle a workload that fluctuates and grows with time

Preferred Qualifications:

  • Experience with Cerner Initiating authorizations

Why join our team?

If you join us, you will receive:

  • Work remotely with a work/life balance approach
  • Robust benefits offering, including 401(k)
  • Generous time off allotments
  • 10 paid holidays annually
  • Employer-paid short term disability and life insurance
  • Paid Parental Leave

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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