Authorization Specialist

TSAOG Orthopaedics & Spine; San Antonio (TX); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

Opportunities for growth

Supportive work environment

Job summary

TSAOG Orthopaedics & Spine is seeking a detail-oriented Authorization Specialist in San Antonio, TX to manage medical service authorizations, ensure regulatory compliance, and coordinate with providers, insurers, and patients for timely, appropriate care.

The role requires strong attention to detail, EHR proficiency, and excellent communication. A healthcare background and familiarity with billing processes are preferred, with opportunities for professional growth in a supportive environment.

Qualifications

• High school diploma or equivalent required; additional education in healthcare administration is a plus.
• Experience in healthcare settings, especially authorization or billing, preferred.
• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Proficient in using EHR systems and Microsoft Office.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology and insurance processes is advantageous.

Responsibilities

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

Skills

Attention to detail

Organizational skills

Communication skills

EHR proficiency

Microsoft Office

Teamwork

Education

High school diploma

Healthcare administration or related field preferred

Tools

EHR systems

Microsoft Office Suite

Job description

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.

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.