Medical Authorization & Records Specialist

Medical Authorization & Records Specialist Dermatology Specialists of Spokane - 3.2 Spokane, WA Job Details Full-time $20 - $25 an hour 8 hours ago Benefits Health savings account Health insurance Dental insurance 401(k) Flexible spending account Paid time off Vision insurance Employee discount Life insurance Retirement plan Qualifications Customer communication Administrative experience High school diploma or GED Medical administrative support Health information management Time management Full Job Description Dermatology Specialists of Spokane is a physician owned, successfully independent practice located conveniently in downtown Spokane. DermSOS is committed to excellence in patient care and the Medical Authorization & Records Specialist (MARS) role is ideal for motivated professionals eager to make a meaningful impact by ensuring seamless authorization processes and meticulous record management within our dynamic healthcare environment. Join us in supporting quality patient care through precision, compliance, and compassionate service! Medical Authorization & Records Specialist -

Job Summary:

The Medical Authorization & Records Specialist is responsible for coordinating prior authorizations for healthcare services, managing medical records, and processing a high volume of incoming medical documentation. This position serves as a key liaison between Patient Care Coordinators, providers, insurance companies, and patients to ensure timely authorization of services, accurate record management, and efficient document workflow while maintaining compliance with HIPAA and organizational policies. Essential Duties and Responsibilities Process and submit prior authorization requests for medical visits, procedures, diagnostic testing, medications, and specialty services. Verify patient insurance eligibility, benefits, and authorization requirements. Communicate with insurance companies, healthcare providers, and clinical staff to obtain approvals, submit additional documentation, and resolve authorization issues. Track authorization requests and follow up to ensure timely determinations and prevent delays in patient care. Receive, sort, prioritize, and distribute a high volume of incoming faxes and electronic documents to the appropriate departments or providers. Scan, upload, index, and maintain patient medical records within the electronic health record (EHR) system. Process requests for medical records while ensuring compliance with HIPAA and privacy regulations. Review incoming documentation for completeness and accuracy, routing records for provider review when necessary. Maintain organized electronic and physical filing systems for patient documentation. Respond to internal and external inquiries regarding authorizations, medical records, and documentation status. Collaborate with clinical staff to obtain supporting documentation required for insurance approval. Monitor authorization expirations and renewals as needed. Maintain confidentiality of patient information and adhere to all federal, state, and organizational privacy policies. Perform other administrative and healthcare support duties as assigned. Qualifications High school diploma or GED required; associate degree in Healthcare Administration, Medical Office Administration, or a related field preferred. Minimum of 1-3 years of experience in a healthcare administrative, medical office, or insurance authorization role preferred. Knowledge of medical terminology, insurance verification, and prior authorization processes. Experience with Electronic Health Record (EHR) systems and document management software. Familiarity with HIPAA regulations and medical records management. Proficiency with Microsoft Office Suite and standard office equipment. Knowledge, Skills, and Abilities Strong understanding of medical insurance, prior authorization requirements, and healthcare documentation. Excellent organizational and time management skills with the ability to manage multiple priorities simultaneously. Strong attention to detail and accuracy. Ability to process and prioritize a high volume of incoming faxes and electronic documents efficiently. Effective verbal and written communication skills. Strong problem-solving and critical-thinking abilities. Ability to work independently and collaboratively in a fast-paced healthcare environment. Excellent customer service and interpersonal skills. Working Conditions Office-based within an outpatient medical practice. Frequent use of computers, telephones, scanners, fax systems, and electronic health record software. May require prolonged periods of sitting and repetitive keyboard use. Fast-paced environment requires attention to deadlines and accuracy.

Added Perks:

Excellent work environment, free and/or discounted services or products (medical aspect and aesthetic center), frequently provided lunches.

Pay:

$20.00 - $25.00 per hour

Benefits:

401(k) Dental insurance Employee discount Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance

Work Location:

In person