Experienced Managed Care Authorization Specialist | Growth

Evergreen Healthcare Group; California (MO); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health, Dental, Vision Insurance

Generous PTO Package

Employee Assistance Program

Training & Development Opportunities

Job summary

Evergreen Healthcare Group is seeking an experienced Managed Care Authorization Specialist to join our corporate team. You will manage concurrent authorization requests, track them, and communicate with peers, payers, and facility staff to ensure efficient information delivery.

You will assist with initial authorization requests as needed. You will handle data entry into the EMR for patient billing and collaborate with Admissions for insurance verification and case management negotiations.

Qualifications

• Strong experience with Managed Care Insurance Verification.
• Medical Terminology knowledge is desirable.
• Ability to verify insurance and coordinate authorizations with payers and facilities.

Responsibilities

• Data entry into EMR for patient billing and verification.
• Collaborate with Admissions for insurance verification and case management.
• Maintain knowledge of reimbursement principles and pricing parameters.
• Communicate with payor case managers for updates/authorizations.
• Manage and monitor daily to-dos in EMR; assist with projects.

Skills

Microsoft Office suite

Excel

Word

PowerPoint

Outlook

Communication skills

Confidentiality

Education

High school diploma or equivalent

Medical Terminology knowledge

Tools

Electronic Medical Record (EMR) System

Job description

Evergreen Healthcare Group is seeking an experienced Managed Care Authorization Specialist to join our corporate team. You will manage concurrent authorization requests, track them, and communicate with peers, payers, and facility staff to ensure efficient information delivery.

You will assist with initial authorization requests as needed. You will handle data entry into the EMR for patient billing and collaborate with Admissions for insurance verification and case management negotiations.