Authorization Specialist – Wound Care & Plastic Surgery (FT)

Banner Health; Phoenix (AZ); On-site; USD 52,000 - 62,000; Full time

Job summary

Banner Health is seeking an Authorization Representative for the Wound and Plastic Surgery Clinic in Phoenix. The role focuses on obtaining pre-certifications for professional and medical services, verifying patient demographics and procedure codes, and communicating with physicians, patients and third-party payers.

This full-time daytime position emphasizes accuracy, efficiency and a high level of customer service.

Qualifications

• High school diploma or GED required.
• Experience in medical office or insurance environment preferred.
• Knowledge of managed care concepts and ICD-9/ CPT codes a plus.

Responsibilities

• Responds to referrals and obtains necessary authorizations from payors.
• Pre-certifies services and verifies patient demographics, codes and dates of service.
• Schedules appointments and answers questions about the authorization process.
• Provides information to physicians, patients and payers; assists with denials and appeals.
• Maintains documentation of all referral activity and authorizations.
• Works with staff on coordinating care within established guidelines.

Skills

Detail oriented

Flexible

Problem solver

Authorization experience

Customer service

Education

High school diploma/GED

Tools

Microsoft Office

Job description

Banner Health is seeking an Authorization Representative for the Wound and Plastic Surgery Clinic in Phoenix. The role focuses on obtaining pre-certifications for professional and medical services, verifying patient demographics and procedure codes, and communicating with physicians, patients and third-party payers.

This full-time daytime position emphasizes accuracy, efficiency and a high level of customer service.