South East Alaska Regional Health Consortium
AUTHORIZATION SPECIALIST - SEARHC Corporate Office
South East Alaska Regional Health Consortium, Juneau, Alaska, us, 99812
Pay Range:$25.00 - $29.35
SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.
Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.
Key Essential Functions and Accountabilities of the Job
Knows, understands, incorporates, and demonstrates the Mission, Core Values, and Vision in behaviors, practices, policies, and decisions.Maintains collaborative, team relationships with peers and colleagues to contribute to the working group's achievement of goals effectively, and to help foster a positive work environment.Protects confidentiality/privacy in verbal, written, and electronic forms of communication or information sharing.Raises concerns in appropriate manner and according to policy.Demonstrates behavior and communication skills that align with SEARHC's commitment to superior customer service, including quality, care, and concern with each and every internal and external customer.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 bring forth recommendations for operational improvement.Other Functions
Ensures successful adherence to policies, procedures and changes to the organization.Completes and supports additional patient access related activities as assigned.Other duties as assignedAdditional Details:
Education, Certifications, and Licenses Required
High School Diploma or GED - required.Experience Required
Entry level position with on-the-job training provided.Knowledge of
Medical Terminology or CPT or procedure codes; alternatively, contains the willingness to learnGeneral office functions, office equipment, and computer applicationsSkills in
Working independentlyGood interpersonal, verbal, and written communicationStrong attention to detailAbility to
Prioritize work in multi-task in a fast-paced office setting with many interruptionsSelf-start and willingness to learnRead and comprehend simple instructions, short correspondence, and memosDemonstrate time-management, organizational, and customer service skillsWork flexible hours with limited unplanned absenceProblem-solving demeanorEffectively prioritize multiple ongoing tasks and responsibilities under pressure at a steady pace in an unpredictable environmentHandle difficult customer situations in a positive mannerInteract with external healthcare professionals in a variety of settings
Position Information:
Work Shift:OT 8/40
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.
Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.
Key Essential Functions and Accountabilities of the Job
Knows, understands, incorporates, and demonstrates the Mission, Core Values, and Vision in behaviors, practices, policies, and decisions.Maintains collaborative, team relationships with peers and colleagues to contribute to the working group's achievement of goals effectively, and to help foster a positive work environment.Protects confidentiality/privacy in verbal, written, and electronic forms of communication or information sharing.Raises concerns in appropriate manner and according to policy.Demonstrates behavior and communication skills that align with SEARHC's commitment to superior customer service, including quality, care, and concern with each and every internal and external customer.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 bring forth recommendations for operational improvement.Other Functions
Ensures successful adherence to policies, procedures and changes to the organization.Completes and supports additional patient access related activities as assigned.Other duties as assignedAdditional Details:
Education, Certifications, and Licenses Required
High School Diploma or GED - required.Experience Required
Entry level position with on-the-job training provided.Knowledge of
Medical Terminology or CPT or procedure codes; alternatively, contains the willingness to learnGeneral office functions, office equipment, and computer applicationsSkills in
Working independentlyGood interpersonal, verbal, and written communicationStrong attention to detailAbility to
Prioritize work in multi-task in a fast-paced office setting with many interruptionsSelf-start and willingness to learnRead and comprehend simple instructions, short correspondence, and memosDemonstrate time-management, organizational, and customer service skillsWork flexible hours with limited unplanned absenceProblem-solving demeanorEffectively prioritize multiple ongoing tasks and responsibilities under pressure at a steady pace in an unpredictable environmentHandle difficult customer situations in a positive mannerInteract with external healthcare professionals in a variety of settings
Position Information:
Work Shift:OT 8/40
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!