medical authorization specialist

L.A. Care Health Plan

<div></div><div><div><div><div><div><div><div><p>Authorization Technician II
</p></div></div></div></div><div><div><div><div><b>Job Category: </b>Clinical
</div></div></div></div><div><div><div><div><b>Department: </b>Utilization Management
</div></div></div></div><div><div><div><div><b>Location:
</b>Los Angeles, CA, US, 90017
</div></div></div></div><div><div><div><div><b>Position Type: </b>Full Time
</div></div></div></div><div><div><div><div><b>Requisition ID: </b>13058
</div></div></div></div><div><div><div><div><div><b>Salary Range:</b> $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.)</div><br>
<div></div>
<div>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation&rsquo;s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br>
<br>
Mission: L.A. Care&rsquo;s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br>
</div><div><div><div><div>Job Summary</div>
</div><div><div>
The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the authorization process including intake, logging, tracking and status follow-up.</div><br>
<div></div>
<div>The Authorization Technician II collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining an accurate database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance/appeal requests, and prepares UM Activity and Weekly Compliance Reports.</div><br>
<div></div>
<div>In addition, the position performs data entry and processing of referrals/authorizations in the system, authorizes request consistent with auto authorization criteria, maintains confidentiality when communicating member information, and assists with the communication of determinations by preparing template letters for members/ providers, with other duties as assigned.</div>
</div></div><div><div><div>
Duties</div>
</div><div><div>Functional Elements: Technical Support to UM Specialist: Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements; Computer Input: Accurately and completely processing referrals/authorizations and distribute a complete file to UM Specialist within 2 hours of receipt; identify duplicate requests using the claims and verify existing authorization. Independently identifying and appropriately returning to claims or member services any file that is a duplicate to one already processed in the system; appropriately documenting what information was used in making this determination within 4 hours of receipt. Appropriate identification and timely notification of time sensitive requests; appropriately identifying for the staff which you support, request that are priority based on date of receipt and established Turnaround Time criteria for compliance. Accurate filing/maintenance of confidential member information. Creating secure, complete, files. Interface with members, medical personnel and other internal and external agencies; ensure all comply with L.A. Care requirements such as submitting requested information in a timely manner and using the approved Authorization Request form with complete medical information i.e.: ICD 10 codes, CPT, HCPC codes. (35%)</div>
<div></div><div>Assist in the preparation of communication for authorization determinations, including, but not limited to preparing template letters for members and providers (authorization approval, denial, deferral, modification and pay/education). (30%)</div>
<div></div><div>Assist in the technical aspects of the retrospective review process for authorizations and Member or Provider Appeals, including, but not limited to computer data entry, logging, copying, preparing of template letters for communication of appeal determinations to members, providers and partners (appeal uphold or overturn) and filing: Set up GNA files for review, log and keep track all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals response letters to Grievances Specialist on daily basis. (20%)</div>
<div></div><div>Support UM Committee and Audit activity via Department performance reporting. Assure the accuracy of reports concerning inventory and department proficiency in maintaining regulatory standards and time frames. (5%)</div>
<div>Perform other duties as assigned. (10%)</div>
</div></div><div><div><div>
Duties Continued</div>
</div></div><div></div><div><div><div>Education Required</div>
</div><div><div>High School Diploma/or High School Equivalency Certificate</div></div></div><div><div><div>
Education Preferred</div>
</div></div><div></div><div><div><div>Experience</div>
</div><div><div><b>
Required:</b></div>
<p>At least 6 months of health care experience.</p><br>
<p></p>
<p>Experience working in a cross functional work environment.</p><br>
<p></p>
<p><b>Preferred:</b></p>
<p>Experience in Medi-Cal managed care.</p><br>
<p></p>
<p>1 year of experience in UM/Prior Authorization.</p>
</div></div><div><div><div>
Skills</div>
</div><div><div><b>
Required:</b></div>
<p>Demonstrated proficiency in Medical Terminology required.</p><br>
<p></p>
<p>Strong verbal and written office communication skills.</p><br>
<p></p>
<p>Proficient with Microsoft Office Suite and Adobe PDF. and</p><br>
<p></p><p>Excellent organizational, interpersonal and time management skills.</p><br>
<p></p><p>Must be detail-oriented and an enthusiastic team player.</p><br>
<div></div>
<div><b>Preferred:</b></div>
<p>Knowledge of QNXT computer systems a plus.</p><br>
<p></p>
<p>Knowledge of the UM patient referral process.</p><br>
<p></p>
<p>Knowledge of member&rsquo;s health plan eligibility.</p><br>
<p></p>
<p>Knowledge of member&rsquo;s benefits coverage.</p><br>
<p></p><p>Knowledge of Health Plan regulations.</p><br>
<p></p>
<p>Knowledge of HMO/UM functions.</p><br>
<p></p>
<p>Knowledge of ICD-10/CPT coding.</p><br>
<p></p><p>Proficient utilizing electronic medical records and documentation programs.</p>
</div></div><div><div><div>
Licenses/Certifications Required</div>
</div></div><div></div><div><div><div>Licenses/Certifications Preferred</div>
</div><div><div>Medical Coding Certification</div></div></div><div><div><div>
Required Training</div>
</div></div><div></div><div><div><div>Physical Requirements</div>
</div><div><div>Light</div></div></div><div><div><div>
Additional Information</div>
</div><div><div><b>
Required:</b></div>
<div>Weekends and holidays hours may be required, as well as OT based on a business need.</div>
</div></div></div><div><b>
Salary Range Disclaimer:</b> The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.</div><br>
<div></div>
<div><b>L.A. Care offers a wide range of benefits including</b></div>
<ul><li>Paid Time Off (PTO)</li>
<li>Tuition Reimbursement</li>
<li>Retirement Plans</li>
<li>Medical, Dental and Vision</li>
<li>Wellness Program</li>
<li>Volunteer Time Off (VTO)</li></ul><div><br>
</div></div></div></div></div><p><br>
<b>Nearest Major Market: </b>Los Angeles
<br>
<b>Job Segment: </b>EMR, Claims, Data Entry, Medical Coding, Healthcare, Insurance, Administrative</p></div></div></div><div></div>

Authorization Technician II

DeCoach Recovery Centre

<div><div><p><b>Prior Authorization Specialist</b></p><p><b>
Job Description</b></p><div>
DeCoach Recovery is a leading addiction treatment center located in Sharonville, OH, dedicated to providing compassionate care and effective solutions for individuals battling addiction. We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team.</div><p>
Job Overview: We are seeking a detail-oriented and energetic Prior Authorization Specialist to join our team. In this vital role, you will manage the authorization process for various medical services, ensuring timely approval from insurance providers. Your expertise will help streamline patient care, reduce delays, and enhance overall satisfaction by navigating complex managed care protocols with precision and professionalism.</p><p><b>
Key Responsibilities:</b></p><ul><li>
Review and prepare prior authorization requests for medical procedures, medications, and treatments</li><li>
Verify insurance coverage and eligibility through insurance verification processes</li><li>
Accurately code procedures using CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems</li><li>
Maintain comprehensive medical records and documentation in compliance with HIPAA regulations</li><li>
Communicate effectively with healthcare providers, insurance companies, and patients to facilitate authorization approvals</li><li>
Track and follow up on pending authorizations to ensure timely responses</li><li>
Stay current with changes in managed care policies, coding standards, and regulatory requirements</li></ul><p><b>
Qualifications:</b></p><ul><li>
Proven experience in managed care or medical office environments, preferably with prior authorization responsibilities</li><li>
Strong knowledge of medical terminology, medical records management, and medical coding (CPT, ICD-9, ICD-10)</li><li>
Familiarity with insurance verification processes and healthcare billing procedures</li><li>
Experience working in dental or medical offices is highly desirable</li><li>
Excellent organizational skills with attention to detail and accuracy</li><li>
Ability to navigate HIPAA regulations diligently to protect patient confidentiality</li><li>
Office experience demonstrating proficiency with electronic health records (EHR) systems or similar software</li></ul><p><b>
Benefits:</b></p><ul><li>
Competitive salary based on experience.</li><li>
Medical, Dental, &amp; Vision Heath Insurance</li><li>
Company Paid Life Insurance</li><li>
Affiliated with the STAR program, assist employees in paying off student loans</li><li>
Tuition Reimbursement program</li><li>
Paid Time-Off</li><li>
6 paid Holidays off</li><li>
Opportunities for Advancement</li><li>
Yearly Merit Raises</li></ul><p>
Join our dedicated team at DeCoach Recovery and contribute to our mission of providing quality addiction treatment services while ensuring financial sustainability through effective revenue cycle management. If you have the required skills and experience, we encourage you to apply and become part of our compassionate and dynamic team.</p></div><br>
8-4:30</div>

Prior Authorization Specialist

Hazrin

<p><b>Company Description</b></p><p>MedAlign Solutions LLC is a leader in delivering reliable medical billing, coding, and reimbursement solutions tailored for healthcare providers nationwide. Focused on accuracy and efficiency, we streamline the billing process, enabling healthcare professionals to prioritize patient care. Our certified team utilizes advanced technology and industry expertise to ensure timely claims submission, reduce denials, and optimize revenue cycles. With a commitment to personalized support, MedAlign Solutions provides transparent and high-quality services that enhance operational efficiency and help healthcare organizations succeed.</p><p><b>Role Description</b></p><p>This is a full-time on-site role for a Prior Authorization Specialist located in Islamabad. In this position, the specialist will manage and oversee the prior authorization process for medical services by reviewing documentation, verifying patient insurance coverage, coordinating with medical staff, and communicating effectively with insurance companies to ensure approval. Additional responsibilities include maintaining accurate records, resolving authorization issues, and staying updated on changes in insurance policies and procedures to ensure compliance.</p><p><b>Qualifications</b></p><ul><li>Proficiency in handling Prior Authorization, Medical Billing, and Insurance Verification</li><li>Strong organizational and documentation skills to maintain accurate authorization records</li><li>Knowledge of medical terminology, coding, and healthcare regulations</li><li>Effective communication and problem-solving skills for liaising with patients, providers, and insurance companies</li><li>Attention to detail and the ability to manage a high volume of tasks efficiently</li><li>Experience with medical billing software and technology platforms</li><li>Bachelor's degree in healthcare, business, or related field preferred</li><li>Experience in prior authorization or medical billing is highly desirable</li></ul><p>Job Type: Full-time</p><p>Pay: Rs70,000.00 - Rs90,000.00 per month</p><p>Experience:</p><ul><li>Prior Authorization: 1 year (Preferred)</li></ul><p>Location:</p><ul><li>Islamabad (Preferred)</li></ul><p>Work Location: In person</p>

Onco360 Oncology Pharmacy

<div>
 <strong>
  Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy
  <br/>
  <br/>
 </strong>
 <em>
  Woodridge, IL
 </em>
 |
 <em>
  Full-Time
 </em>
 |
 <em>
  Starting at $23.00/hr and up
  <br/>
  <br/>
 </em>
 <strong>
  Join a mission-driven team making a difference in the lives of cancer patients.
  <br/>
  <br/>
 </strong>
 Onco360 Pharmacy is seeking a
 <strong>
  Pharmacy Prior Authorization Specialist
 </strong>
 to join our dedicated team in Woodridge, IL. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
 <br/>
 <br/>
 <strong>
  Why Join Us?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   A career with purpose: Help patients access life-saving medications.
  </li>
  <li>
   Supportive culture: We value teamwork, respect, integrity, and passion.
  </li>
  <li>
   Growth opportunities: We invest in your professional and personal development.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Company Benefits
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Medical; Dental; Vision
  </li>
  <li>
   401k with a match
  </li>
  <li>
   Paid Time Off and Paid Holidays
  </li>
  <li>
   Tuition Reimbursement
  </li>
  <li>
   Quarterly Incentive Bonus
  </li>
  <li>
   Paid Volunteer Day
  </li>
  <li>
   Referral Incentive Program
  </li>
  <li>
   Company Paid Life Insurance; and Short/Long-Term Disability
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You&rsquo;ll Do
  <br/>
  <br/>
 </strong>
 The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
 <br/>
 <br/>
 <strong>
  How You&rsquo;ll Do This
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Manage prior authorization requests and appeals with insurance carriers.
  </li>
  <li>
   Collaborate with physicians, pharmacists, and other departments.
  </li>
  <li>
   Ensure HIPAA compliance while handling sensitive patient information.
  </li>
  <li>
   Maintain accurate documentation of authorization details.
  </li>
  <li>
   Proactively monitor and renew expiring authorizations.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You Bring
  <br/>
  <br/>
 </strong>
 <em>
  <strong>
   Required:
   <br/>
   <br/>
  </strong>
 </em>
 <ul>
  <li>
   High School Diploma or GED
  </li>
  <li>
   1+ years of pharmacy or prior authorization experience
  </li>
  <li>
   Registration with Board of Pharmacy (as required by state law)
  </li>
  <li>
   Strong communication, organizational, and customer service skills
  </li>
  <li>
   Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  </li>
  <li>
   Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Associate degree or Certified Pharmacy Technician (PTCB)
  </li>
  <li>
   3+ years of experience in pharmacy or prior authorizations
  </li>
  <li>
   Specialty pharmacy experience
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
  <br/>
  <br/>
 </strong>
 <strong>
  #Company Values: Teamwork, Respect, Integrity, Passion
  <br/>
  <br/>
 </strong>
 #IH
</div>


Pharmacy Prior Authorization Specialist

Onco360

<div><div><b>Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy</b><br>
<i>New Hyde Park, NY</i> | <i>Full-Time</i> | <i>Starting at $25.00/hr and up</i></div>
<div></div><div><b>Join a mission-driven team making a difference in the lives of cancer and rare disease patients.</b></div>
<div></div><div>Onco360 Pharmacy is seeking a <b>Pharmacy Prior Authorization Specialist</b> to join our dedicated team in New Hyde Park, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.</div>
<div> </div><p></p><div><div><b>Why Join Us?</b></div>
<ul><li>A career with purpose: Help patients access life-saving medications.</li>
<li>Supportive culture: We value <b>teamwork, respect, integrity, and passion</b>.</li>
<li>Growth opportunities: We invest in your professional and personal development.</li>
</ul>
</div><div></div><div><b>Company Benefits</b></div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Quarterly Incentive Bonus</li>
<li>Paid Volunteer Day</li>
<li>Referral Incentive Program</li>
<li>Company Paid Life Insurance; and Short/Long-Term Disability</li>
</ul><p></p><div><b>What You&rsquo;ll Do</b></div>
<div>The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.</div>
<div></div><div><b>How You&rsquo;ll Do This</b></div>
<ul><li>Manage prior authorization requests and appeals with insurance carriers.</li>
<li>Collaborate with physicians, pharmacists, and other departments.</li>
<li>Ensure HIPAA compliance while handling sensitive patient information.</li>
<li>Maintain accurate documentation of authorization details.</li>
<li>Proactively monitor and renew expiring authorizations.</li>
</ul> <p></p><div><b>What You Bring</b></div>
<div><b>Required:</b></div>
<ul><li>High School Diploma or GED</li>
<li>1+ years of pharmacy or prior authorization experience</li>
<li>Registration with Board of Pharmacy (as required by state law)</li>
<li>Strong communication, organizational, and customer service skills</li>
<li>Self-motivated, organized, detail-oriented, and adaptable to changing priorities</li>
<li>Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds</li>
</ul><div><b>Preferred:</b></div>
<ul><li>Associate degree or Certified Pharmacy Technician (PTCB)</li>
<li>3+ years of experience in pharmacy or prior authorizations</li>
<li>Specialty pharmacy experience</li>
</ul><p></p><div><b>Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.</b></div>
<div></div><div><b>#Company Values: Teamwork, Respect, Integrity, Passion</b></div></div>

<div><div><b>Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy</b><br>
<i>Scottsdale, AZ</i>| <i>Full-Time</i> | <i>Starting at $23.00/hr and up</i></div>
<div></div><div><b>Join a mission-driven team making a difference in the lives of cancer patients.</b></div>
<div></div><div>Onco360 Pharmacy is seeking a <b>Pharmacy Prior Authorization Specialist</b> to join our dedicated team in Scottsdale, AZ. This is a full-time position ideal for candidates local to the area. <b>Remote work possible after initial on-site training.</b></div><br>
<div></div>
 <p></p><div><b>Why Join Us?</b></div>
<ul><li>A career with purpose: Help patients access life-saving medications.</li>
<li>Supportive culture: We value <b>teamwork, respect, integrity, and passion</b>.</li>
<li>Growth opportunities: We invest in your professional and personal development.</li>
</ul><div><b>Company Benefits</b></div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Quarterly Incentive Bonus</li>
<li>Paid Volunteer Day</li>
<li>Referral Incentive Program</li>
<li>Company Paid Life Insurance; and Short/Long-Term Disability</li>
</ul><p></p><div><b>What You&rsquo;ll Do</b></div>
<div></div><div>The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.</div>
<div></div><div><b>How You&rsquo;ll Do This</b></div>
<ul><li>Manage prior authorization requests and appeals with insurance carriers.</li>
<li>Collaborate with physicians, pharmacists, and other departments.</li>
<li>Ensure HIPAA compliance while handling sensitive patient information.</li>
<li>Maintain accurate documentation of authorization details.</li>
<li>Proactively monitor and renew expiring authorizations.</li>
</ul> <p></p><div><b>What You Bring</b></div>
<div></div><div><b><i>Required:</i></b></div>
<ul><li>High School Diploma or GED</li>
<li>1+ years of pharmacy or prior authorization experience</li>
<li>Registration with Board of Pharmacy (as required by state law)</li>
<li>Strong communication, organizational, and customer service skills</li>
<li>Self-motivated, organized, detail-oriented, and adaptable to changing priorities</li>
<li>Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds</li>
</ul><div><b>Preferred:</b></div>
<ul><li>Associate degree or Certified Pharmacy Technician (PTCB)</li>
<li>3+ years of experience in pharmacy or prior authorizations</li>
<li>Specialty pharmacy experience</li>
</ul><p></p><div><b>Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.</b></div>
<div></div><div><b>#Company Values: Teamwork, Respect, Integrity, Passion</b></div></div><div></div>

61st Street Service Corporation

<div><p><b>Top Healthcare Provider Network</b></p>
<p>The 61st Street Service Corporation, provides administrative and clinical support staff for <b><i>ColumbiaDoctors</i></b>. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors&rsquo; practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties.</p>
<p><b>This position is primarily remote, candidates must reside in the Tri-State area (New York, New Jersey, or Connecticut).</b></p>
<p><b>Note: </b>There may be occasional requirements to visit the New York or New Jersey office for training, meetings, and other business needs.</p>
<p><b>Job Summary:</b></p>
<p>The Authorization Specialist III is responsible for verifying insurance policy benefit information, securing payer required authorization prior to the patient&rsquo;s visit, scheduled admission, or immediately following hospital admission. This position is responsible for obtaining accurate and timely pre-authorizations for professional services. The Authorization Specialist III is also responsible for assisting management with the daily work assignment, staff training, and quality audits.</p>
<p><b>Job Responsibilities:</b></p>
<ul><li>Verifies insurance coverage via system tools, payer portals (Electronic Query (Real-Time-Eligibility [RTE]/Insurance Payer Portal/Phone).</li>
<li>Upon verification of patient's insurance coverage, update changes in the billing system.</li>
<li>Confirms provider&rsquo;s participation status with patient&rsquo;s insurance plan/network.</li>
<li>Determines payer authorization requirements for professional services.</li>
<li>Research system notes to obtain missing or corrected insurance or demographic information.</li>
<li>Reviews clinical documentation to ensure criteria for procedure meets insurance requirements.</li>
<li>Initiates authorization and submits clinical documentation as requested by insurance companies.</li>
<li>Follows through on pre-certifications until final approval is obtained.</li>
<li>Manage faxes, emails, and phone calls. Responds to voicemails and emails.</li>
<li>Communicates with surgical coordinators regarding authorizations status or denials.</li>
<li>Submits appeals in the event of denial of prior authorizations or denial of payment following procedures.</li>
<li>Set up peer to peer calls with clinical providers and insurance companies, as needed.</li>
<li>Calculate and document patient out of pocket estimates and provide to patient.</li>
<li>Assists Supervisor with special projects and/or tasks.</li>
<li>Assists Authorization Specialist I and II with complex cases or questions pertaining to the clearance of payer authorization or insurance eligibility issues.</li>
<li>Assist supervisor/manager with distribution of daily work assignments.</li>
<li>Assist with new-hire training and staff refresher training materials.</li>
<li>Monitor and replenish the unit&rsquo;s office supply needs.</li>
<li>Assist management team with performing periodic quality audits.</li>
<li>Performs other job duties as assigned.</li>
</ul>
<p>Please note: While this position is primarily remote, candidates must be in a Columbia University approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the employee's responsibility and not be reimbursed by the company.</p>
<p><b>Job Qualifications:</b></p>
<ul><li>High school graduate or GED certificate is required.</li>
<li>A minimum of 2 years&rsquo; experience in a physician&rsquo;s billing or third payer environment.</li>
<li>Candidate must demonstrate the ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations.</li>
<li>Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner.</li>
<li>Must demonstrate effective communication skills both verbally and written.</li>
<li>Ability to multi-task, prioritize, document, and manage time effectively.</li>
<li>Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.)</li>
<li>Functional proficiency and comprehension of medical terminology.</li>
<li>Certified Professional Coder certificate (CPC) is preferred.</li>
<li>Experience in Epic and or other of electronic billing systems is preferred.</li>
<li>Knowledge of medical terminology, diagnosis and procedure coding is preferred.</li>
<li>Previous experience in an academic healthcare setting is preferred.</li>
</ul>
<p><b>Hourly Rate Ranges: $27.88 - $36.06</b></p>
<p>Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.</p>
<p><b>61st Street Service Corporation</b></p>
<p>At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.</p>
<p>We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.</p></div>

Authorization Specialist III #Full Time #Remote

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