Insurance Authorization Specialist- PARS South Clinic

Insurance Authorization Specialist

• PARS South Clinic San Angelo, TX Job Details 1 day ago Qualifications Computer operation Direct patient care Insurance prior authorization Phone communication Computer literacy Maintaining patient confidentiality Processing cash transactions HIPAA High school diploma or GED Medical administrative support Decision making Medical billing Computer skills Patient interaction Clerical experience 1 year Patient charting Managing patient records Referral coordination Order entry Medical terminology Stakeholder relationship building Entry level Office experience Client interaction via phone calls Full Job Description Job Summary Under general supervision of the Insurance Authorization Supervisor, performs clerical and general office work of moderate difficulty, assisting patients and guarantors with insurance questions, and works hospital and office procedures pre-certification.

Performs duties of obtaining authorizations, referrals, account payment questions and collections for services. Physical Requirements The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities. The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50) Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty. Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations. May be exposed to infectious or contagious disease. May have to handle emergency situations. May be subject to irregular hours. May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns. May be exposed to toxic/caustic/chemicals/detergents. Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting. Activity Conditions (Occasionally, Frequently, Continuously): Sitting

• Continuously Walking
• Occasionally Standing
• Occasionally Bending-Occasionally Squatting
• Occasionally Climbing-Occasionally Kneeling-Occasionally Twisting-Occasionally Visual and Hearing Requirements Must be able to see with corrective eye wear.

Must be able to hear clearly with assistance. Working Conditions Primarily Works in a well-lighted and air-conditioned environment with period of heavy workload and stress. This role may include working in less-than-ideal home conditions, which can include exposure to extreme temperatures and environments that may not meet typical cleanliness standards such as clutter, unkept surfaces, and homes with pets. Works in various conditions.

Performance:

Essential Functions Decision Making:

Ability to make decisions and takes appropriate action based on the information they have. Recognizes own limitations and consults with the supervisor, manager, or team member when appropriate.

Time Management:

Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time.

Quality & Quantity:

Demonstrates accurate, knowledge and skill to carry out job duties. Follows departmental work policies and procedures. Speed and consistency of output and time utilization of job duties.

Computer Knowledge & Electronic Equipment Use:

Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry.

Resource Utilization:

Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement.

Confidentiality:

Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy. Supervises the

Following Positions Positions:

N/A Performance:

Position Specific Essential Functions Accurately update patient records with patient demographics, insurance information, and related information. Meets productivity goals set by management on a daily, weekly, and monthly basis. Contacts patients to secure insurance information, account payments, and resolve related matters. Meet with patients to discuss account balances, credits, and payment methods. Answer insurance-related questions. Provides directional and other information to patients, visitors, and others. Answer telephones, messaging service, direct calls and take messages. Check voice mail and returns calls. Accepts copays and payments. Calls patient to collect estimated amount for procedures prior to the date of service. Meets collection goals set by management on a daily, weekly, and monthly basis. Contacts insurance companies to obtain hospitalization, surgery, and office procedures pre-certifications; discusses insurance and claims matter with insurance company representatives. Tends to learn new skills quickly on his/her own AND apply them both quickly and effectively to work situations. Identify work-related problems with possible resolutions, and implement an appropriate solution in a timely manner. Establishes effective, positive working relationships with management, staff, patients, providers, customers, vendors, and managers and provides support to other staff members and management. Performs other duties as assigned. Qualifications Education Preferred High School Diploma, GED, or equivalent

Experience:

Required One or more years of Clerical/General Office experience Preferred One or more years of Medical Billing or Insurance Authorization experience One of more years of knowledge or experience in Medical Terminology One or more years of experience handling cash

Certification/Licensure:

N/A