Authorization

American Endovascular & Amputation Prevention; Glen Rock (York County); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Disability insurance

Flexible spending account

Health insurance

Life insurance

Paid time off

Retirement plan

Vision insurance

Job summary

American Endovascular is seeking a full-time Medical Insurance Authorization Specialist to verify patient eligibility and obtain authorizations, while communicating with staff and physicians on status and needs. This role is based in Glen Rock, PA and requires HIPAA compliance, strong organization, and customer service skills.

Responsibilities include coordinating precertifications, working with multiple insurance portals, and ensuring accurate benefit determinations.

Qualifications

• HS Diploma required.
• Excellent organizational skills.
• Ability to multi-task in a fast-paced office.
• Customer service experience beneficial.
• Authorizations experience preferred.

Responsibilities

• Complete eligibility, benefits and pre-certification/auth information using insurance portals.
• Adhere to HIPAA and protect PHI.
• Explain precertification and authorization requirements to staff.
• Provide forms to billing and other departments as needed.
• Verify benefits and coverage meet required standards.
• Coordinate authorizations with patients and third parties.

Skills

Excellent organizational skills

Multi-tasking

Customer service

Authorizations experience

Education

HS Diploma

Job description

Job Description

American Endovascular is seeking full time Medical Insurance Authorization Specialist. The person in this role will be responsible for verifying eligibility of patients insurance and obtaining authorizations as well as communicating with staff/physicians on status, needs, etc.

American Endovascular is seeking full time Medical Insurance Authorization Specialist. The person in this role will be responsible for verifying eligibility of patients insurance and obtaining authorizations as well as communicating with staff/physicians on status, needs, etc.

Responsibilities

• Complete detailed eligibility, benefit and pre-certification/ authorization information to ensure accurate claims and working directly with multiple insurance websites to obtain benefits and authorizations for procedures performed in both an office setting as well as ASC.
• Adheres to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Explains insurance coverages and requirements for precertification/preauthorization, as applicable.
• Provides appropriate forms to billing and other departments.
• Verifies insurance benefits assigned to the organization to determine if insurance coverage meets appropriate standards.
• Corresponds with patients to acquire required authorizations and assignments of benefits.
• Works with appropriate sources to coordinate precertification requirements with contractual third parties.

Requirements

• HS Diploma
• Excellent organizational skills
• Ability to multi-task
• Customer Service experience
• Authorizations experience

Benefits

• 401(k)
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Ability To Commute/relocate

• Glen Rock, PA 17327: Reliably commute or planning to relocate before starting work (Required)

Experience

• medical authorizations: 1 year

Work Location: In person