Authorization Specialist I

🔥 0 minutes ago

🐻 Alaska – Remote

🐻 Alaska – Remote

💵 $25 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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SouthEast Alaska Regional Health Consortium (SEARHC)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1975

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Healthcare • Wellness

SouthEast Alaska Regional Health Consortium (SEARHC) is a dedicated healthcare organization serving the communities of Southeast Alaska. With a commitment to providing comprehensive medical care, SEARHC offers a wide range of services including primary care, specialty care, behavioral health, and various support programs across multiple locations. Their mission emphasizes community wellness and access to quality health services, ensuring that the unique health needs of the region's population are met.

📋 Description

• Works with payers and SEARHC clinical staff to obtain initial and ongoing authorizations for patient services • Verifies insurance benefits for each patient • Tracks and corrects all pertinent insurance information in the electronic medical record • Maintains strong working relationships with payers, SEARHC billing staff, and all other interdepartmental staff • Provides excellent customer service at all times • Captures and records inbound and outbound authorizations for patients and/or referring physician’s offices • Carries out due diligence to obtains authorizations from various insurance carriers via phone, in writing or email • Processes authorization-related denials and coordinates the appeal process with the appropriate Revenue Cycle staff members • Ensures efficient documentation of information for insurance verification, registration and billing requirements and follows-up as needed • Responds to inquiries regarding status of authorization(s) by assessing the request and evaluating the circumstances to provide the needed information • Demonstrates superior customer service to all external and internal customers • Communicates effectively with patients, physicians, and/or other departments regarding delay or issues relating to authorizations and patient appointments • Meets team metric standards and expectations consistently • Maintains strict confidentiality at all times • Identifies compliance/ethics issues and brings forth recommendations for operational improvement

🎯 Requirements

• High School Diploma or GED – required. • Entry level position with on-the-job training provided. • Experience in working in a healthcare office or customer service - preferred. • Knowledge of Medical Terminology or CPT or procedure codes; alternatively, contains the willingness to learn • General office functions, office equipment, and computer applications • Skills in Working independently • Good interpersonal, verbal, and written communication • Strong attention to detail • Ability to Prioritize work in multi-task in a fast-paced office setting with many interruptions • Self-start and willingness to learn • Read and comprehend simple instructions, short correspondence, and memos • Demonstrate time-management, organizational, and customer service skills • Work flexible hours with limited unplanned absence • Problem-solving demeanor • Effectively prioritize multiple ongoing tasks and responsibilities under pressure at a steady pace in an unpredictable environment • Handle difficult customer situations in a positive manner • Interact with external healthcare professionals in a variety of settings

🏖️ Benefits

• $1,000 Sign On Bonus at start • $1,000 Bonus after 12 months for qualified hire! • Retirement • Paid time off • Paid parental leave • Health insurance • Dental and vision benefits • Life insurance • Long and short-term disability