Authorizations Specialist- Pediatric Endocrinology Position Available In Palm Beach, Florida

Authorizations Specialist

• Pediatric Endocrinology KIDZ Medical Services
• 3.

7

West Palm Beach, FL Job Details Full-time Estimated:

$31.3K

• $36.

1K a year 1 day ago Benefits Health insurance Qualifications Microsoft Word Microsoft Excel Microsoft Office High school diploma or GED Organizational skills Associate’s degree Medical terminology Communication skills Entry level

Full Job Description SUMMARY:

The Authorizations Specialist is responsible for obtaining authorizations and referrals for our pediatric endocrinology team. Inputs new patient information and updates information in our EMR system Analyzes patient records and insurance policies to determine if procedures, treatments, or medications require prior authorization Ensure patients are eligible for services and that insurance benefits are accurate Notifies providers of potential coverage options Communicates with patients about the authorization process and any potential delays or financial implications. Interacts with healthcare providers, insurance companies, and patients to obtain and provide information needed for authorization decisions Compiles and submits detailed authorization requests to insurance companies, including all necessary documentation Completes/obtains authorizations and referrals for services, including appointments, procedures, infusions, and medications Researches and resolves any issues or discrepancies related to authorization requests Monitors and follows up on authorization requests to ensure timely processing Investigates insurance denials and resubmit requests or appeals when necessary. Monitors schedule for potential issues Remains informed about healthcare industry regulations, trends and insurance policies Performs other related duties as assigned by management.

QUALIFICATIONS

High school diploma or general education degree (GED), or one to three months related experience and/or training, or equivalent combination of education and experience. Associate degree a plus. Strong understanding and experience in medical billing or insurance authorization. Knowledge of medical terminology. Ability to use Microsoft Office

• Outlook, Word, Excel, Acute attention to detail and strong organization skills.

OTHER COMPETENCIES

Adaptability

• Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Attendance/Punctuality
• Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time. Customer Service
• Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments. Dependability
• Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan. Innovation
• Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others’ attention. Oral Communication
• Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Organizational Support
• Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization’s goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity. Quality Management
• Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness. Written Communication
• Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.