Authorization Specialist

# Authorization Specialist Hot Job Grand Ledge, MI 48837## Overview Salary Range $18.00 - $21.00 Hourly Level Experienced Position  Type Full Time Job Shift Day Education  Level High School Category Admin  - Clerical## Description
** Summary
* * The Authorization Specialist, a key position in the Revenue Cycle, obtain authorizations/reauthorizes all procedures, surgeries, and medications/injectable. This position requires excellent follow-up and correspondence with external sources such as hospital/surgery centers, providers, patients, and insurance inquiries/correspondence.
** Supervisory responsibilities
** This role has no supervisory responsibilities.
** Essential functions
*** The following list is a summary of the key functions of the job and may not be inclusive of all duties assigned*.
* Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.
* Request, track and obtain pre-authorization from insurance carriers within time allotted for services.
* Request, follow up and secure prior-authorizations prior to services being performed.
* Communicate any insurance changes or trends among team.
* Maintains a level of productivity suitable for the department.
* Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.
* Attend and participate in meetings and training
* Complying with rules, regulations, policies, and procedures for collecting payments.
* Performing other duties as assigned.
** Core Competencies
** All employees of L.O. Eye Care are expected to demonstrate the following core competencies, regardless of position or status. Additional job-specific competencies may be required of each position.
* Communication – Ability to communicate effectively both verbally and in writing.
* Conscientious – Ability to feel obligated to do right or be good along with awareness of one’s own conduct, intentions, or character.
* Teamwork – Ability to work well in groups, develop and maintain positive working relationships, help resolve conflict, and support team goals.
* Adaptability – Ability to adapt to change, be open to new ideas, handle pressure and uncertainty, and adjust work plans to meet changing company needs.
* Trustworthy – Ability to be worthy of confidence and create assured reliance on the character, ability, and truth of own self.
* Patient Confidentiality – Ability to maintain patient confidentiality, and hold others accountable to such, in accordance with the highest ethical standards.
** Other duties
** Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
** Work environment
*** Work from home and/or typical office environment.
** Physical demands/potential hazards
*** Must be able to sit for prolonged periods, must be able to use eyes, hands, and body to maintain office dexterity and mobility; may be required to lift typical office equipment up to 20 pounds.
** Travel required
*** 0-25% travel required.## Qualifications# Education and experience
* Educational requirements that are job-related and consistent with business necessity
** High School Diploma or G.E.D. required.
* Previous medical billing experience with knowledge of billing related reporting.
* Three to five years’ experience in health-care (billing or clinical).
* Experience working with medical payers and vision insurance.
* Demonstrated knowledge of medical terminology with high proficiency in general medical office procedures including HIPAA regulations.
* Working knowledge of medical billing systems, Nextgen a plus.
* Working knowledge of CPT and ICD-9 & ICD-10 coding system.# Leadership and management experience
* Leadership requirements that are job-related and consistent with business necessity
* N/A
** Additional eligibility requirements*
* ** Work authorization/security clearance requirements
** Must be authorized to work in the US