Fast-Track Sports Medicine Authorization Specialist

Sports Medicine Associates of San Antonio - SMASA; San Antonio (TX); Sur place; USD 38 000 - 54 000; Plein temps

Avantages offerts par ce poste

Medical, Dental, Vision

Paid time off

401K

Résumé du poste

Sports Medicine Associates of San Antonio - SMASA is seeking an Authorization Specialist to join our Business Office and support 15 physicians across 6 clinic locations. You will interpret insurance benefits, obtain authorizations, and review medical policy guidelines to ensure timely patient care.

Ideal candidates have 2+ years in medical authorization/verification, strong communication skills, and proficiency with NextGen EHR or similar systems.

Qualifications

• 2 years medical prior authorization and verification experience.
• 2 years' experience in a medical related field.
• High school diploma or GED required.

Responsabilités

• Interpret insurance benefits and calculate patient responsibility.
• Review chart documentation to ensure patient meets medical policy guidelines.
• Prioritize incoming authorization requests according to urgency.
• Obtain authorizations via payer portals or by phone and follow up regularly on pending cases.
• Initiate appeals for denied authorizations.
• Respond to clinic questions regarding payer medical policy guidelines.
• Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order.
• Contact patients to discuss authorization status.
• Other duties as assigned.

Connaissances

Insurance knowledge

Customer service

Communication skills

Multitasking

Time management

Attention to detail

Formation

High School Diploma or GED

Outils

NextGen EHR

Description du poste

Sports Medicine Associates of San Antonio - SMASA is seeking an Authorization Specialist to join our Business Office and support 15 physicians across 6 clinic locations. You will interpret insurance benefits, obtain authorizations, and review medical policy guidelines to ensure timely patient care.

Ideal candidates have 2+ years in medical authorization/verification, strong communication skills, and proficiency with NextGen EHR or similar systems.