Onsite Patient Access & Insurance Authorization Specialist

University of Alabama at Birmingham; Birmingham (AL); On-site; USD 21,000 - 31,000; Full time

Job summary

University of Alabama at Birmingham in Birmingham, AL seeks an Authorization Specialist (Cooper Green). The role involves coordinating referrals, verifying patient demographics and insurance, and obtaining precertifications while maintaining strong customer service. Experience in a medical setting is preferred.

The position requires working onsite with the CGMHSA team and handling multiple clinics, ensuring timely processing of authorizations and accurate documentation in NextGen EMR.

Qualifications

• High school diploma or equivalent required.
• One year in a medical practice setting preferred.
• CHAA certification is a plus.

Responsibilities

• Obtains and/or verifies patient demographics & insurance information; updates appointment status in NextGen.
• Schedules patient referrals internally and externally.
• Verifies information on referrals is accurate and complete.
• Obtains precertification through private insurance if applicable.
• Notifies patients if a copayment is required for outside services.
• Verifies enrollment of patients to Cooper Green.
• Verifies insurance benefits.
• Answers phone and takes complete, accurate messages; routes to appropriate person promptly.
• Accurately schedules patient appointments with correct information.
• Assists with reporting as needed.
• Obtains appointment date/time for patients referred outside CGMHSA.
• Ensures information entered into EMR is complete and accurate.
• Other duties as assigned.

Skills

Medical terminology

Customer service

Telephone courtesy

English grammar

PC software

Education

High school diploma or equivalent

College coursework substitute for experience

CHAA certification (preferred)

Tools

NextGen EMR

Precertification software

Job description

University of Alabama at Birmingham in Birmingham, AL seeks an Authorization Specialist (Cooper Green). The role involves coordinating referrals, verifying patient demographics and insurance, and obtaining precertifications while maintaining strong customer service. Experience in a medical setting is preferred.

The position requires working onsite with the CGMHSA team and handling multiple clinics, ensuring timely processing of authorizations and accurate documentation in NextGen EMR.