Conway Medical Center
Authorization Specialist
Conway Medical Center - Conway, South Carolina, United States, 29527
Work at Conway Medical Center
Overview
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Overview
Position Summary:
The Authorization Specialist (AS) is assigned patients to obtain insurance to determine if an authorization is required for the testing/procedure being ordered by the requesting physician/practitioner. The Authorization Specialist AS will check patient demographics and more importantly insurance information to ensure Conway Medical Center has the most up-to-date information for accurate reimbursement submission.
Qualifications
Education: High School Diploma required. Experience:
Two (2) years' experience in hospital and/or physician billing/pre-authorization or insurance verification. Demonstrated knowledge of health insurance plans including: Medicare; Medicaid, HMO's; and PPO's required. Familiarity with electronic health records (E.H.R.) and documentation requirements and accessibility. Knowledge of online insurance eligibility and insurance verification systems. Licensure/Certification/Registration:
Medical Terminology certification preferred. Certification or Associate degree in ICD-10-CM/ICD-10-PCS; CPT, HCPCS preferred Certified Health Access Associate credential preferred Special Skills:
Exemplary core customer service skills strongly required. Keeps the patient at the center of everything that you do, building lifelong trust. Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity. Familiarity with electronic health records (E.H.R.) and documentation requirements and accessibility. Knowledge of online insurance eligibility and insurance verification systems Strong verbal and written communication skills required. Ability to thrive in a fast-paced environment.
The Authorization Specialist (AS) is assigned patients to obtain insurance to determine if an authorization is required for the testing/procedure being ordered by the requesting physician/practitioner. The Authorization Specialist AS will check patient demographics and more importantly insurance information to ensure Conway Medical Center has the most up-to-date information for accurate reimbursement submission.
Qualifications
Education: High School Diploma required. Experience:
Two (2) years' experience in hospital and/or physician billing/pre-authorization or insurance verification. Demonstrated knowledge of health insurance plans including: Medicare; Medicaid, HMO's; and PPO's required. Familiarity with electronic health records (E.H.R.) and documentation requirements and accessibility. Knowledge of online insurance eligibility and insurance verification systems. Licensure/Certification/Registration:
Medical Terminology certification preferred. Certification or Associate degree in ICD-10-CM/ICD-10-PCS; CPT, HCPCS preferred Certified Health Access Associate credential preferred Special Skills:
Exemplary core customer service skills strongly required. Keeps the patient at the center of everything that you do, building lifelong trust. Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity. Familiarity with electronic health records (E.H.R.) and documentation requirements and accessibility. Knowledge of online insurance eligibility and insurance verification systems Strong verbal and written communication skills required. Ability to thrive in a fast-paced environment.