Revenue Cycle Authorization Specialist

Global Medical Response; Phoenix (AZ); On-site; USD 25,000 - 28,000; Full time

Job summary

Global Medical Response is seeking a Revenue Cycle – Authorization Specialist for our On-Site Phoenix, AZ operation. This role focuses on managing authorizations for non-emergency transports, coordinating with Communications, Operations, payors and billing to ensure paperwork is obtained around the time of transport.

The successful candidate will review transports to determine payor requirements, request and obtain authorizations, and help sustain compliant processes.

Qualifications

• Minimum 1 year work experience in medical billing – prior authorization required
• Minimum typing speed of 50 WPM required
• Work experience with computer programs and software required
• Work experience in medical industry preferred

Responsibilities

• Work with Communications to provide guidance on non-emergency transports and required paperwork and/or authorizations
• Review non-emergency transports to identify appropriate payor and determine if an authorization is required
• Follow established processes to request and/or obtain authorizations for non-emergency transports
• Work with Communications to ensure adequate and appropriate levels of service are dispatched for non-emergency transports
• Manage Authorization work bin to ensure payor requirements are met
• Process customer complaints quickly by receiving, investigating, redirecting or, resolving the issue
• Convey an attitude of intolerance for unprofessional behavior
• Develop and sustain excellent working relationships with AMR professionals (e.g., Operations, Business Development, IT and Finance), as well as with the Company’s clients, payors, consultants, banks and financial intermediaries and government agencies

Skills

Typing speed 50 WPM

Medical billing knowledge

Microsoft Office

HIPAA knowledge

Terminology knowledge

Education

High School diploma or GED

EMT certification/licensure or medical experience preferred

Tools

Microsoft Office

Job description

More Information about this Job

Revenue Cycle – Authorization Specialist

Location: On-Site – Phoenix, AZHourly Compensation: $18-$20 DOE

Work Schedule: Full-Time

Shift Hours - Thu, Fri, & Sat, 6am-6pm and every other We 6am-6pm

Position Summary

The Authorization Specialist works within the Transport Authorization Department (TAD) and is responsible for authorization management of non-emergency transports. Authorization Specialists work with Communications, Operations, payors, and billing to ensure appropriate paperwork is obtained before or around the time of the patient’s transport.

Essential Duties and Responsibilities

• Work with Communications to provide guidance on non-emergency transports and required paperwork and/or authorizations.
• Review non-emergency transports to identify appropriate payor and determine if an authorization is required.
• Follow established processes to request and/or obtain authorizations for non-emergency transports.
• Work with Communications to ensure adequate and appropriate levels of service are dispatched for non-emergency transports.
• Manage Authorization work bin to ensure payor requirements are met.
• Process customer complaints quickly by receiving, investigating, redirecting or, resolving the issue.
• Convey an attitude of intolerance for unprofessional behavior.
• Develop and sustain excellent working relationships with AMR professionals (e.g., Operations, Business Development, IT and Finance), as well as with the Company’s clients, payors, consultants, banks and financial intermediaries and government agencies.

Minimum Qualifications

Experience

• Minimum 1 year work experience in medical billing – prior authorization required
• Minimum typing speed of 50 WPM required
• Work experience with computer programs and software required
• Work experience in medical industry preferred

Knowledge and Skills

• General knowledge of medical and insurance industry terminology preferred
• Knowledge of Medicare and Medicaid guidelines related to ambulance billing preferred
• Knowledge of HIPAA, Sarbanes-Oxley and other critical governmental regulations within one (1) month of hire date is required
• Maintain working knowledge of various tools including but not limited to basic Microsoft Office software, QWERTY keyboard use, basic computer function required

Education/Licensing/Certification

• High School diploma or GED required
• EMT certification/licensure or medical experience preferred

Why Choose AMR?

AMR is one of Global Medical Response’s (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.

GMR’s Core Behaviors—keep care at the center, raise your hand, seek to understand, find a way together and be accountable—unite our teams and set us apart in emergency

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

More Information about this Job

Check out our careers site benefits page to learn more about our benefit options.