Authorization Specialist

AQUA DERMATOLOGY MANAGEMENT LLC; Alabama; Hybrid; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical, dental, and vision after 30d

Short-term disability & life insurance

Paid time off (PTO) 10 days

401(k) after 90 days

Growth and advancement opportunities

Discounts on services

Job summary

AQUA Dermatology is seeking an Authorization Specialist to support insurance verification, authorizations, and patient cost communications. The role requires detail orientation, independent work, and collaboration with the clinical office team.

Remote-friendly position with a focus on accurate coding, payer interactions, and maintaining strict confidentiality in a dermatology environment.

Qualifications

• High school diploma or GED required with experience in medical office insurance.
• Experience verifying benefits, obtaining authorizations, and communicating costs to patients.
• Familiarity with HIPAA regulations and payer procedures.

Responsibilities

• Verify patient benefits and calculate out-of-pocket costs using multiple insurance resources.
• Contact patients regarding out-of-pocket costs prior to patient services.
• Obtain, review, input insurance authorizations and referrals prior to patient services.
• Monitor and track patient authorizations.
• Be proficient in ICD-10 and CPT codes.
• Verify status of participating providers and insurance plans.
• Support medical office team members and coordinate with management.
• Attend department meetings and adhere to company policies.

Skills

Benefit verification

HIPAA compliance

Insurance authorizations

ICD-10/CPT codes

Communication & organization

Independent work

Education

High school diploma or GED

1 year medical office insurance experience

Tools

Practice management software

Microsoft Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Authorization Specialist

Full Time Clerical US

30+ days ago Requisition ID: 5683

AQUA Dermatology is Florida’s largest and most comprehensive full-service skin care provider in the Southeast, offering medical, surgical, and cosmetic dermatology, plastic surgery, vein care, and radiation oncology.

The Authorization Specialist will provide support for verifying current and accurate patient insurance information and to work with insurance companies to obtain authorization (s) for services.

Essential Functions:

• Verifypatientbenefitsandcalculateout of pocketcostsusingmultipleinsuranceresources.
• Contact patients regarding out-of-pocket costs prior to patient services.
• Obtain,review,andinputinsuranceauthorizationandreferralspriortopatientservices.
• Monitorandtrackpatientauthorizations.
• BeproficientintheuseofICD-10andCPTcodes.
• Verifiesstatusofparticipatingprovidersandinsuranceplans.
• Supportmedicalofficeteammembers.
• Workscloselywithmanagementteaminbusinessofficetoensureallinternalandexternal customer service issues are addressed.
• Participatesineducationalactivitiesandattendsdepartmentteammeetings.
• Conductsoneselfinaccordancewithcompanypoliciesandprocedures.
• Performs other duties as required.
• Medicalofficeexperience:dermatology,plasticsurgery, varicose vein, and/or radiation oncology preferred.
• KnowledgeofHIPAAregulations,insurancepayers,ICD-10,CPTcodes,andfeeschedule reimbursement methodology.
• Mustbedetail-orientedandaself-starterwiththeabilitytoworkindependently.
• Possessexcellentcommunicationandorganizationalskillswiththeabilitytomulti-task,set priorities, and meet deadlines and departmental metrics.
• Mustbecourteous withexcellentcustomerserviceskillswhilemaintainingstrictconfidentiality.
• Possesshighjobaccuracy,efficiency,anddependability.
• Musthaveconsistent,punctual,andreliableattendance.
• Abilitytoestablisheffectiveworkingrelationshipswithproviders,staffandthepublic.
• Must have access to fast access internet

Education & Experience:

• Highschoolgraduate,GEDorequivalent.
• Oneyearofmedicalofficeinsurance andauthorizationexperience.
• Excellentcomputer,multi-tasking,phone,and electronic faxing skills.
• KnowledgeofPracticeSoftwareSystem/s.
• KnowledgeofMicrosoftproducts.

Our Benefits Include:

• Medical, Dental, and Vision are available after 30 days of hire
• Short-term disability and life insurance, and many ancillary options.
• 10 days of PTO with an increase to 15 days upon completing 1st year
• 401 (k) available after 90 days of hire
• Excellent growth and advancement opportunities
• Discounts on services

Schedule/Location

• First shift/ Full Time
• Remote-Must be based in FL, GA, or AL

Founded in 1998, AQUA Dermatology is the Southeast’s premier dermatology practice with over 110 locations throughout Florida, Georgia, and Alabama. Our established practices and experienced physicians offer patients the most quality outcomes and exceptional patience. From common rashes to skin cancer treatments, plastic surgery procedures to an array of vein treatments, no case is beyond our experience and expertise!