Medical Insurance Authorization Specialist Capital Region Orthopaedics - 3.9 Albany, NY Job Details Full-time $19 - $22 an hour 14 hours ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance Retirement plan Qualifications Overseeing health insurance pre-certification Medical insurance coverage verification Patient demographics Research Medical administrative support Case management Attention to detail Medical billing and coding communication with insurance companies Healthcare billing investigations Computer skills Managing patient records Medical claim denial management Medical terminology Full Job Description The Bone and Joint Center is looking for an Authorization Specialist to join its team. This position will be responsible for verifying and obtaining authorizations as required by insurance companies dependent upon the plan coverage for all patients.

Additional responsibilities include:

preparing reports of daily activity as requested for management performing financial reviews and calculations based upon information received from the insurance company or plan assisting with logistical and/or clerical problem resolution related to the patient's medical record, authorization and billing issues.

Requirements:

• Experience in obtaining Insurance authorizations.
• Understanding of clinic operations and patient registration
• Knowledge of different insurance policies
• Case management experience
• Strong organizational, communication and computer skills
• Comprehensive working knowledge of 3rd party insurance process
• Understanding of insurance payor reimbursement, authorization, collection practices, practice management systems follow-up helpful.
• Medical terminology
• Attention to detail and accuracy, Ability to prioritize tasks
• Researches and corrects invalid or incorrect patient demographic information such as invalid phone number or insurance policy number to ensure proper billing.
• Works and assists with the billing department in researching and resolving rejected authorized claims.
• Accurately documents patient accounts of all actions taken.

Capital Region Orthopaedics (The Bone & Joint Center), provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

• Actual compensation will be based on qualifications and other factors determined by law.

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Job Type:

Full-time Pay:

$19.00 - $22.00 per hour

Benefits:

401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Paid time off Retirement plan Vision insurance

Experience:

Medical Insurance Authorization:

1 year (Preferred)

Work Location:

In person