Authorization Specialist

TSAOG Orthopedic & Spine; San Antonio (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

TSAOG Orthopedic & Spine is seeking an Authorization Specialist to manage the authorization workflow for medical services. You will work with providers, insurers, and patients to gather information and ensure timely, compliant authorizations.

Responsibilities include processing requests, maintaining records, and staying current with insurance policies. This role requires attention to detail, strong communication, and reliable attendance in a fast-paced clinic setting.

Qualifications

• High school diploma or equivalent.
• Experience in healthcare settings, especially authorization or billing.
• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Proficient with EHR systems and Microsoft Office.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology and insurance processes is an advantage.
• Regular and predictable attendance required.

Responsibilities

• Review and process authorization requests for medical services and procedures.
• Communicate with providers, insurers, and patients to gather information.
• Ensure compliance with regulations and policies regarding authorizations.
• Maintain accurate records of authorization requests and outcomes in the system.
• Follow up on pending authorizations and resolve issues.
• Provide guidance to providers regarding authorization requirements.
• Stay updated on changes in policies affecting authorizations.

Skills

Attention to detail

Organizational skills

Communication skills

Interpersonal skills

Teamwork

EHR proficiency

Microsoft Office proficiency

Independent work

Medical terminology knowledge

Attendance reliability

Education

High school diploma or equivalent

Healthcare administration education (preferred)

Tools

EHR systems

Microsoft Office

Job description

Description

Job Title: Authorization Specialist

Job Summary:

We are seeking a detail-oriented Authorization Specialist to join our team. The ideal candidate will be responsible for managing the authorization process for medical services, ensuring compliance with regulations, and facilitating communication between healthcare providers and insurance companies. This role is crucial in ensuring that patients receive timely and appropriate care.

Key Responsibilities

• - Review and process authorization requests for medical services and procedures.
• - Communicate with healthcare providers, insurance companies, and patients to gather necessary information.
• - Ensure compliance with all relevant regulations and policies regarding authorizations.
• - Maintain accurate records of authorization requests and outcomes in the system.
• - Follow up on pending authorizations and resolve any issues that may arise.
• - Provide support and guidance to healthcare providers regarding authorization requirements.
• - Stay updated on changes in insurance policies and regulations affecting authorizations.

Requirements

Skills and Qualifications

• - High school diploma or equivalent; additional education in healthcare administration or a related field is a plus.
• - Previous experience in a healthcare setting, particularly in authorization or billing, is preferred.
• - Strong attention to detail and organizational skills.
• - Excellent communication and interpersonal skills.
• - Proficient in using electronic health record (EHR) systems and Microsoft Office Suite.
• - Ability to work independently and as part of a team.
• - Knowledge of medical terminology and insurance processes is an advantage.
• -Requires regular and predictable attendance

We offer a supportive work environment and opportunities for professional growth.

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