Authorization Specialist

As the Authorization Specialist I report to the Director of Revenue Cycle. I create a connection with DOC guests and ensure that our value of tenacious caring occurs. I do this by understanding the value of communication, a helpful hand and the importance of relating to one’s needs.

Lead Outcomes

• I maintain guest confidentiality and ensure PHI is secure at all times. I obtain a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.
• I lead the authorization process, benefits verification and guest estimates.
• I lead DOC costumer service protocols to ensure the guest receives the required authorization for any services performed within and by DOC.
• I am crossed trained in the Surgery Scheduling.

Core Responsibilities

• I facilitate the authorization process for all surgery, pain procedures and bracing.
• I communicate with providers and other team members of the guests’ authorization, having awareness of delays, and providing continual communication with all.
• I maintain compliance with payer-specific reimbursement guidelines.
• I am responsible for tracking, obtaining, and extending authorizations from various carries in a timely manner.
• I follow up and have confirmation of all authorizations obtained; I work to help find solutions when denials are received.
• I verify benefits information for guests and obtain test precertification/authorizations when necessary, as well as other tasks assigned..
• I assist our guests as needed.

I exemplify the following competencies

• My leadership is proactive.
• My work shows great attention to detail.
• My behaviors and standards model DOC’s values and deliver a service experience that is unrivaled.
• I use active listening skills.
• My behavior is enthusiastic.
• I enjoy working as part of a team.
• I am flexible and adaptable.
• I am able to lift up to 50lbs.
• I am proficient in computer skills.