Authorization Specialist

Authorization Specialist

CENTRAL TEXAS SINUS & ALLERGY PLLC

College Station, TX Job Details Full-time 1 day ago Benefits Paid time off Qualifications Customer communication Full Job Description Join our team where Healthcare is reimagined! We are looking for an Authorization Specialist to join our team. We are an established practice that is continually growing. Work with our well-respected group that has been serving the community for many years. Whether starting your career or looking to share your knowledge with others, we are the place for you! What makes us different? While working at our Company, a Parallel ENT & Allergy Company, you will enjoy great perks, such as a great work schedule ( no weekends ), excellent benefits package, and PTO. We strive to maintain an environment where our employees can grow and further their skills and careers while being a part of a strong team.

Responsibilities:

Obtain pre-certifications, prior-authorizations, and referrals for patient procedures, surgeries, and treatments as required by insurance providers. Review patient coverage and communicate with insurance companies, healthcare providers and patients to gather necessary information for the authorization process. Track and follow up on pending authorizations, ensuring approvals are received in a timely manner. Collaborate with the billing department to ensure accurate billing and reimbursement processes. Maintain accurate and up-to-date records of all authorization requests, approvals, denials and related correspondence. Investigate and resolve authorization issues, appeal denied requestions when appropriate and documents the appeals process. Help to educate the patient on the authorization process and act as a liaison between patient and insurance companies. Ensure compliance with HIPAA regulations and protect patient confidentiality.

Qualifications:

Associate or bachelor's degree in healthcare administration or a related field preferred. 1+ years of experience in a medical office setting preferred. Familiarity with medical terminology and coding (CPT, ICD-10 is a plus) Ability to thrive in a fast-paced environment Excellent customer service and computer skills Strong verbal and written communication skills Friendly, personable demeanor Detail oriented We are committed to a diverse and inclusive workplace. The Company is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or another legally protected status.