Authorization Specialist

Hopebridge; Indianapolis (IN); On-site; USD 42,000 - 62,000; Full time

Job summary

Hopebridge is seeking an Authorization Specialist to support our families by verifying insurance, determining pre-authorization needs, and securing authorizations for scheduled services. The role involves documentation within the system, communication with physicians and insurers, and maintaining workflow deadlines.

Ideal candidates will have strong computer skills, attention to detail, and a customer-focused approach. Healthcare exposure and Salesforce experience are preferred but not required.

Qualifications

• Must be at least 18 years of age.
• High school diploma or equivalent required.
• Salesforce experience is preferred but not required.

Responsibilities

• Confirm Insurance Coverage.
• Determine necessity for pre-authorization and obtain authorization for scheduled patients.
• Help perform eligibility checks for ongoing patients.
• Provide standardized documentation within system to identify prior authorization and the criteria surrounding such authorization accurately and timely.
• Notify patients and/or clinical staff of any services requested and/or referred that are not authorized by insurance.
• Contact physician offices via fax/phone to obtain information necessary to secure an authorization.
• Contact insurance offices via fax, portals, and/or phone to obtain authorization.
• Monitor all tasks using workflow software and meet deadlines.
• Advise clinical staff when issues arise relating to obtaining prior authorization.
• Adhere to Hopebridge policies and procedures.
• Assist with problem solving to improve efficiency and morale within the office.
• Maintain positive attitude and ensure customer and co-worker satisfaction.
• Promote Hopebridge philosophies and team morale.
• Attend weekly meetings and training as requested.
• Other duties as assigned.

Skills

Proficient computer skills

Attention to detail

Collaborative attitude

Problem solving

Customer service

Time management

Multitasking

Stress management

Prioritization

Education

High school diploma

Age 18+

Tools

Salesforce

Job description

Authorization Specialists are responsible for providing exceptional customer service, collecting insurance information, ensuring correct benefits, and securing authorizations to help our families maintain coverage for services.

Responsibilities

• Confirm Insurance Coverage
• Determine necessity for pre-authorization and obtain authorization for scheduled patients
• Helps perform eligibility checks for ongoing patients
• Provide standardized documentation within system to identify prior authorization and the criteria surrounding such authorization accurately and timely
• Notify patients and/or clinical staff of any services requested and/or referred that are not authorized by insurance.
• Contact physician offices via fax and/or phone to obtain information necessary to secure an authorization
• Contact insurance offices via fax, portals, and/or phone to obtain authorization
• Monitor all tasks using workflow software and meet the deadlines associated with tasks.
• Advise clinical staff when issues arise relating to obtaining prior authorization
• Adhere to policies and procedures of Hopebridge
• Assist with problem solving to improve efficiency and morale within the office
• Portray a positive attitude and maintain a customer and co-worker satisfaction level that limits adverse situations or complaints
• Promote Hopebridge philosophies, generating team spirit and creating and maintaining and environment that fosters staff satisfaction, maximizes productivity and profitability
• Attend weekly meetings and training as requested
• Other duties as assigned

Required Skills

Competencies

• Proficient Computer Skills
• Strong Attention to Detail
• Collaborative Attitude with Others
• Ability to Identify and Solve Problems
• Mission Driven Commitment to the Job
• Frist-Class Customer Service Skills
• Self-Driven Time Management skills
• Ability to Handle Stress in Fast Paced Environment
• Ability to Multi-task and ability to support multiple priorities

Position Type and Expected Hours of Work

Flexibility in hours is allowed, but the employee must be available during the “core” work hours of 7:00 a.m. to 5:00 p.m.

Required Education And Experience

• Must be at least 18 years of age
• Possess a minimum of a high school diploma

Preferred Education And Experience

• Healthcare experience preferred but not necessary
• Healthcare terminology preferred
• Salesforce experience preferred

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Physical Demands

This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position.

Work Environment

Work is performed in an office environment. Work may be stressful at times due to a busy office. Interaction with others is constant and interruptive.

Disclaimer

The above statements reflect general functions of this job and shall not be construed as a detailed description of all work requirements inherent in this job. The immediate supervisor may elaborate on or add to the above list if the duties come within the employee’s realm of responsibility.

Hopebridge is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, arrest record or any other characteristic protected by applicable federal, state or local laws.