Medical Authorization Specialist: Fast-Paced & Accurate

Option Care Health Inc.; Olympia (WA); On-site; USD 26,000 - 43,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401K Retirement Savings Plan with Plan

HSA Company Match

Flexible Spending Accounts

Tuition Reimbursement

myFlexPay

Family Support

Mental Health Services

Company Paid Life Insurance

Job summary

Option Care Health, Inc. in Olympia, WA is seeking an Authorization Specialist to submit accurate and timely authorization requests to insurers, set up patient accounts, and collect the necessary clinical documentation.

You will verify medical necessity, use basic medical coding and terminology, and work with providers and payers to ensure proper reimbursement. Attention to detail and the ability to handle multiple referrals are essential.

Qualifications

• Ability to multitask 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 environment

Self-discipline

Detail-oriented

Healthcare billing experience (pref)

Education

High school diploma or equivalent

Job description

Option Care Health, Inc. in Olympia, WA is seeking an Authorization Specialist to submit accurate and timely authorization requests to insurers, set up patient accounts, and collect the necessary clinical documentation.

You will verify medical necessity, use basic medical coding and terminology, and work with providers and payers to ensure proper reimbursement. Attention to detail and the ability to handle multiple referrals are essential.