The Authorization Specialist manages prior authorizations and pre-certifications while verifying patient insurance eligibility and benefits. They also communicate with insurance carriers and providers to resolve claim denials and ensure accurate documentation.
Benefits:
401(k)
401(k) matching
Bonus based on performance
Competitive salary
Dental insurance
Health insurance
Paid time off
Vision insurance
About the Role:
IOU Billing Services in Montgomery, NY is looking for a detail-oriented Authorization Specialist to join their growing team! In this critical role, you'll be at the heart of the billing process, ensuring accurate and timely authorizations that keep operations running smoothly for Maryland Medicaid. If you thrive in a fast-paced environment and have a passion for precision, this is the opportunity for you.
Responsibilities:
Process and manage prior authorizations and pre-certifications in a timely manner
Verify patient insurance eligibility and benefits to ensure coverage accuracy
Communicate with insurance carriers, providers, and clinical staff to obtain necessary approvals
Track and follow up on pending authorizations to prevent delays in service
Maintain accurate documentation of authorization requests, approvals, and denials
Review and interpret payer-specific authorization requirements and guidelines
Support the billing team by resolving authorization-related claim denials and discrepancies
Requirements:
5+ years of experience in medical billing, prior authorization, or insurance verification
Familiarity with ICD-10, CPT codes, and medical terminology
Experience working with insurance portals and electronic health record (EHR) systems
Strong attention to detail and ability to manage multiple tasks simultaneously
Excellent communication skills for interacting with payers, providers, and patients
Knowledge of payer authorization requirements and managed care guidelines
Experience in Icanotes EHR, Waystar, Inovalon, Availity and Carelon Provider Connect
About Us:
IOU Billing Services is a trusted billing and revenue cycle management company based in Montgomery, NY, dedicated to helping healthcare providers maximize reimbursements and streamline their billing processes. Our clients rely on us for our expertise, accuracy, and commitment to results. Our team enjoys a collaborative and supportive work environment where every employee plays a meaningful role in the company's success.
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