Authorization Specialist [Follow-Up Specialist]

Authorization Management Specialist (Follow Up

$23 - $25/hr. | Loop Central Drive

Monday- Friday 8 am-4:30 pm or 8:30 – 5:00 pm

Long-Term Assignment – Indefinite - no end date

What You Will Do in this Role:

• Verifies all third-party information with carriers, employers, and review agencies
• Updates all benefits in Epic to ensure appropriate billing and reimbursement for services, and verifies all Third-Party coverage
• Obtains all authorizations, pre-certifications and referral specifics and updates accounts
• Verifies insurance coverage and benefits on all third-party accounts for Inpatient, and Outpatient
• Assist with Day Surgery and Observation registrations
• Verifies that notification was submitted and obtains authorization numbers, and applies coordination of benefits
• Meets with patients regarding co-pay and deductible amounts due
• Ensures that appropriate patient classifications are assigned
• Contacts employers to verify any existing medical group coverage and current employee status
• Obtains prior stay information on Medicare
• Verifies Medicaid and Medicaid Managed Care benefits
• Interacts with all levels of clinical and administrative staff
• Review denied accounts that were denied for payment

What You Will Need:

• Associate degree or 2 years of college preferred (Preferred)
• High School Diploma or GED
• Two (2) Years of hospital /physician office/insurance related; collector, registrar, or customer service-related capacity experience
• ICD/CPT and Epic Software a plus
• Three (3) Years Work Experience of progressive customer service
• Spanish Preferred
• Strong communication skills and able to handle heavy public contact
• Experience with writing/correspondence and writing/reports
• MS Excel, MS Word, mathematical skills and medical terminology
• Experience with patient accounting/registration and eligibility systems
• Obtains authorization, pre-certification, and referral specifics
• Verifies workman's compensation, and victim of crime benefits
• Obtain CPT/ICD9 diagnosis codes to facilitate the proper pre-certification
• Documents all authorization numbers in Epic
• information and other clinical information needed for appealing the claim. Generates letters to payers with specific clinical information to support the appeal and overturn the denial.
• Works closely with Patient Access, Patient Accounting, Utilization Management, Clinical Case
• Management, Patient Care, and other departments as necessary

If you feel you have the above qualifications and enjoy assisting patients with registration in a hospital setting, apply today and begin your new role as an Authorization Management Specialist!

About Resource Staffing

Resource Staffing is an affiliate of The Reserves Network, a family-owned and veteran-founded company. Since 1989, we have been bringing employers and job seekers together in various industries and positions throughout Texas. As an equal opportunity employer, we value our employees and foster an environment of respect, integrity, and trust in every aspect of employment. However you identify and whatever your background, we encourage you to apply today.