Authorization Specialist II

🔥 0 minutes ago

🐻 Alaska – Remote

🐻 Alaska – Remote

💵 $25 - $33 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 • Obtain authorizations for patients in accordance with the payer-provider contracts • Responsible for tracking and correcting all pertinent insurance information in the electronic medical record • Maintain strong working relationships with payers, SEARHC billing staff, and all other interdepartmental staff • Provide excellent customer service • Critical for reimbursement of costs relating to high dollar procedures and services provided to our patients • Accurately captures and records inbound and outbound authorizations for patients and/or referring physician’s offices • Carries out due diligence to obtain 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 and clinical team • Work closely with the Financial Counselors and Patient Access team to ensure coverage is current and documented appropriately in the record • Ensure 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 • Communicates effectively with patients, physicians, and/or other departments regarding delays 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 • Ensures successful adherence to policies, procedures and changes to the organization • Complete and support additional patient access related activities as assigned

🎯 Requirements

• High School Diploma or equivalent – required • CHAA Certification within 6 months of hire • Two years of experience as an Authorization Specialist - preferred • Two years of working in a healthcare, office, or customer service setting may be substituted • Knowledge of Understanding and/or willing to learn tribal health programs and alternate resources • Knowledge and demonstrated use of customer service principles • Knowledge of data entry, retrieval, and reporting • Medical Terminology ICD-10CM, CPT & HCPCS codes • Insurance authorization and benefits • Anatomy and physiology • General office functions, office equipment, and computer applications • Detail oriented with above average organizational skills • Skills in Effective oral and written communication skills • Skills in using a database • Skills in operating a computer utilizing a variety of software applications • Working independently and as a team • Good interpersonal, verbal, and written communication • Strong attention to detail • Ability to multi-task and work independently in a fast paced environment • Ability to respond quickly in urgent situations with attention to detail • Ability to problem solve and use conflict resolution skills • 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 • Handle difficult customer situations in a positive manner • Interact with external healthcare professionals in a variety of settings • Effectively prioritize multiple ongoing tasks and responsibilities under pressure at a steady pace in an unpredictable environment • Maintain a professional demeanor with physician and clinical team when addressing concerns regarding imaging orders/diagnoses

🏖️ Benefits

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