Healthcare Authorization Specialist - Reimbursement Expert

Option Care Home Health LLC; Phoenix (AZ); On-site; USD 23,000 - 36,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

PTO

401K

Job summary

Option Care Health in Phoenix, AZ is seeking a Medical Authorization Specialist to submit accurate and timely authorization requests and to set up patient accounts while coordinating with providers and payers.

Responsibilities include verifying medical necessity, reviewing clinical documents, confirming benefits, and maintaining records. Ideal candidates have attention to detail, strong organizational skills, and the ability to multi-task in a fast-paced healthcare environment.

Qualifications

• Ability to multi-task and support numerous referrals/priorities at one time.
• Ability to work in a fast past environment.
• High degree of self-discipline in maintaining productivity expectations.
• Must be detail-oriented and have a high degree of quality focus.

Responsibilities

• Submit accurate and timely authorization requests to insurance companies and payers
• Ensure proper setup and maintenance of patient accounts in the system
• Obtain and review clinical documentation to verify medical necessity
• Communicate with healthcare providers to gather required information for authorizations
• Verify insurance benefits and eligibility for services
• Monitor the status of authorization requests and follow up as needed
• Ensure compliance with payer requirements and regulations
• Utilize basic medical coding, diagnosis codes, and medical terminology in the authorization process
• Maintain detailed records and documentation for all authorizations
• Collaborate with billing and claims teams to resolve any authorization-related issues

Skills

Multi-tasking

Fast-paced

Detail-oriented

High productivity

Education

High school diploma or equivalent

Job description

Option Care Health in Phoenix, AZ is seeking a Medical Authorization Specialist to submit accurate and timely authorization requests and to set up patient accounts while coordinating with providers and payers.

Responsibilities include verifying medical necessity, reviewing clinical documents, confirming benefits, and maintaining records. Ideal candidates have attention to detail, strong organizational skills, and the ability to multi-task in a fast-paced healthcare environment.