Authorization Specialist I, RCM

Job description

The Authorization Specialist is a position that performs the authorization requests for all insurances. This employee reports directly to the Authorization Manager, RCM. Duties/Responsibilities: Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients and monthly on patients with non-Medicaid insurances and the beginning of each month where prior authorization is not required At the beginning of every new year, obtaining details on eligibility, patients deductible and out of pocket costs Communicating any patients that will have a patient responsibility with the appropriate staff so they can verify the patient will want services and to inform field staff to correctly fill out the consents Tracking and obtaining all authorizations for all locations, along with reauthorization throughout duration of patient care Data entering all authorization information into the system Verifying accuracy in payor setup in EMR for all active policies Maintain electronic record of all authorizations Run reports daily, weekly, and monthly for department Communicate with both internal and external customers to ensure authorizations are utilized accurately...