Authorization Specialist

Job description

Responsibilities: - Verifies patient insurance coverage timely utilizing phone or online resources. - Submit prior authorizations to insurances in timely matter via payer specific portals and vendors - Ensures all pertinent medical documentation is accurate and present prior to authorization submission. - Follows up with pending authorizations on a regular basis to obtain the current status or to be informed of any action needed in order to obtain the authorization approval. - Communicates any authorization denials to the appropriate staff. - Handles any discrepancies, errors, or omissions of authorization denials and files appeals when necessary for overturn of adverse decision. - Participates in educational activities and attends regular staff and department meetings. - Exhibit and manage excellent turn-around time in order to ensure timely authorizations. - Consistently work in a positive and cooperative manner with fellow team members and management. - Demonstrate flexibility to perform duties wherever volume deems it necessary. - Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner. - Document activities appropriately in pro...