Palomar Health Medical Group
Authorization Specialist - San Marcos - Managed Care
Palomar Health Medical Group, San Marcos, California, us, 92079
Requisition ID
38979
Department
HCC Referrals
Location
San Marcos, California
Union
Not Applicable
Salary Range
21.94 - 30.72
Job Type
Full-Time
Shift
Day
Hours Per Shift
8
Hours Per Pay Period
40
Description
The Authorization Specialist will coordinate with physician office staff, patients and insurance companies to ensure that all types of insurance are verified and services are authorized. The Authorization Specialist will ensure accurate, prompt and be responsible for delivering superior service, answering phones, communicating with all departments and individuals regarding matters related to patient care, and obtaining and entering accurate demographic/insurance information for all encounters including patient financial expectations.
ESSENTIAL FUNCTIONS:* Processes inbound and outbound authorizations and schedules corresponding specialty appointments using Practice Management System (PMS) for patients and/or referring physician offices.* Obtains authorizations from various insurance carriers via phone, in writing or email.* Coordinates care within the guidelines of multiple health plans, contracts and insurance types.* Ensures efficient documentation of information for insurance verification, registration and billing requirements and follows-up as needed.* Responds to inquiries as to current status of authorization 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* Consistently meets team metric standards and expectations.* Maintains strict confidentiality at all times.* Positively supports mission, vision and values of the organization.* Required to 'speak up' regarding compliance/ethics issues and bring forth recommendations for operational improvement.* Ensures successful adherence to policies, procedures and changes to the organization.* Completes other duties as assigned.
REQUIREMENTS:* High school diploma or GED required. Two year of insurance authorization experience required, preferably within a multi-specialty medical practice.
We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
38979
Department
HCC Referrals
Location
San Marcos, California
Union
Not Applicable
Salary Range
21.94 - 30.72
Job Type
Full-Time
Shift
Day
Hours Per Shift
8
Hours Per Pay Period
40
Description
The Authorization Specialist will coordinate with physician office staff, patients and insurance companies to ensure that all types of insurance are verified and services are authorized. The Authorization Specialist will ensure accurate, prompt and be responsible for delivering superior service, answering phones, communicating with all departments and individuals regarding matters related to patient care, and obtaining and entering accurate demographic/insurance information for all encounters including patient financial expectations.
ESSENTIAL FUNCTIONS:* Processes inbound and outbound authorizations and schedules corresponding specialty appointments using Practice Management System (PMS) for patients and/or referring physician offices.* Obtains authorizations from various insurance carriers via phone, in writing or email.* Coordinates care within the guidelines of multiple health plans, contracts and insurance types.* Ensures efficient documentation of information for insurance verification, registration and billing requirements and follows-up as needed.* Responds to inquiries as to current status of authorization 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* Consistently meets team metric standards and expectations.* Maintains strict confidentiality at all times.* Positively supports mission, vision and values of the organization.* Required to 'speak up' regarding compliance/ethics issues and bring forth recommendations for operational improvement.* Ensures successful adherence to policies, procedures and changes to the organization.* Completes other duties as assigned.
REQUIREMENTS:* High school diploma or GED required. Two year of insurance authorization experience required, preferably within a multi-specialty medical practice.
We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.