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CPSI

Insurance Authorization Specialist

Posted 3 days ago
2-5 years experience
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AI Summary

The Insurance Authorization Specialist is responsible for verifying patient eligibility and benefits while reviewing clinical documentation. They will also manage the creation of authorizations to ensure compliance with insurance requirements.

Job Summary:

The Insurance Authorization Specialist will perform daily tasks including: verification of patient eligibility, benefits, reading and understanding clinical notes and/or patient charts, and creating authorizations if needed.

Minimum Requirements:

Education/Experience/Certification Requirements:

  • Excellent communication (written and oral) and interpersonal skills.
  • Strong organizational, multi-tasking, and time-management skills.
  • Must be detail oriented and able to follow through on issues to resolution.
  • Must be able to act both independently and as a team member.
  • Minimum of two years’ experience in authorization department/insurance billing/or similar department.
  • Effective interpersonal and management skills
  • Knowledge of and adherence to regulations set by HIPAA
  • Knowledge and skills necessary to meet individual needs based on physical, psycho-social, educational, safety and other criteria appropriate for each individual patient
  • Organizational and prioritization skills and ability to use time effectively
  • Effective written and verbal communication skills
  • Proficient computer skills
  • Must be able to work in a seated position for extended periods of time
  • Must be able to focus on and read a computer screen for prolonged periods Flexibility to handle a workload that fluctuates and grows with time

Preferred Qualifications:

  • Experience with Cerner Initiating authorizations

Why join our team?

If you join us, you will receive:

  • Work remotely with a work/life balance approach
  • Robust benefits offering, including 401(k)
  • Generous time off allotments
  • 10 paid holidays annually
  • Employer-paid short term disability and life insurance
  • Paid Parental Leave
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