Authorization Specialist
American Vision Partners
Welcome page Returning Candidate? Log back in! Authorization Specialist Job Locations US-AZ-Phoenix ID 2024-2844 Category Revenue Cycle Management Position Type Full-Time Company Intro At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.
At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees! Overview As an Authorization Specialist, you'll verify insurance coverage, benefits, and obtain prior authorization for services. Responsibilities
Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorization for services
Processes requests for prior authorization from clinics and Patient Care Coordinators
Documents findings thoroughly and accurately
Makes changes to demographic information as necessary in order to produce a clean patient statement
Meets or exceeds productivity standards in the completion of daily assignments and accurate production
Maintains an error rate in accordance with departmental policy
Performs training with organizational staff on procedures for requesting, documenting and processing prior authorizations
Performs additional duties as assigned
Qualifications
High School Diploma or GED
2+ years of experience in medical billing environment
Ophthalmology background is a plus
Active knowledge of CMS guidelines contracted insurance guidelines and coding policies
Demonstrated computer and math skills
Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
Excellent verbal and written communication skills
Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism
Benefits & Perks
At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees! Overview As an Authorization Specialist, you'll verify insurance coverage, benefits, and obtain prior authorization for services. Responsibilities
Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorization for services
Processes requests for prior authorization from clinics and Patient Care Coordinators
Documents findings thoroughly and accurately
Makes changes to demographic information as necessary in order to produce a clean patient statement
Meets or exceeds productivity standards in the completion of daily assignments and accurate production
Maintains an error rate in accordance with departmental policy
Performs training with organizational staff on procedures for requesting, documenting and processing prior authorizations
Performs additional duties as assigned
Qualifications
High School Diploma or GED
2+ years of experience in medical billing environment
Ophthalmology background is a plus
Active knowledge of CMS guidelines contracted insurance guidelines and coding policies
Demonstrated computer and math skills
Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
Excellent verbal and written communication skills
Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism
Benefits & Perks
Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!
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