Authorization Specialist

• Monitor authorizations of upcoming surgical cases on physician calendars, ensuring surgeries are authorized in a timely and accurate manner
• Verify patient demographic information and insurance eligibility, including coordination of benefits
• Update and confirm information needed to process claims with insurance plans
• Complete surgical cost analysis forms and document required surgical cost estimates for collection before services
• Verify benefits on all surgical procedures
• Document authorizations and authorization progress in patient charts
• Enter authorization information within case management
• Communicate effectively with physicians, patients, and co-workers and establish good working relationships with internal and external customers
• Participate in ongoing staff training and education regarding new processes
• Work with the department manager to respond to and reduce complaints promptly and professionally
• Assist surgery schedulers with STAT authorizations
• Maintain strict confidentiality of health records and member information and comply with HIPAA guidelines
• Identify opportunities to improve daily workflow processes
• Attend department meetings as required

Post-surgical authorization specialist coordinating surgical approvals for HOPCo healthcare clinics

Surgical Authorization Specialist

Post-surgical authorization specialist coordinating surgical approvals and insurance verification for HOPCo healthcare clinics. Managing patient records, benefits, claims information, and STAT authorizations.

• Monitor authorizations for upcoming surgical cases on physicians’ calendars, ensuring surgery authorizations are obtained timely and accurately
• Verify patient demographic information and insurance eligibility, including coordination of benefits
• Update and confirm information needed to process claims to insurance plans
• Complete surgical cost analysis forms and document surgical cost estimates for collection before services
• Verify benefits on all surgical procedures
• Document authorizations and authorization progress in patient charts
• Enter authorization information in case management
• Communicate effectively with physicians, patients, and coworkers and establish good working relationships with internal and external customers
• Provide ongoing staff training and education on new processes to ensure timely confirmation of surgical cases
• Work with the department manager to respond to and reduce complaints in a timely and professional manner
• Assist surgery schedulers with STAT authorizations
• Maintain strict confidentiality of health records and member information and follow HIPAA guidelines
• Identify opportunities to improve daily workflow processes
• Attend department meetings as required

Surgical authorization specialist coordinating surgery approvals for Outcomes by HOPCo’s healthcare clinics

Surgical authorization specialist coordinating surgery approvals, insurance verification, and cost estimates for Outcomes by HOPCo’s healthcare clinics.
Supporting surgical schedulers, staff training, claims processing, and HIPAA-compliant patient record management.

• Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
• Completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services.
• Verifies benefits on all surgical procedures.
• Document authorizations and progress of authorizations in the patient’s chart.
• Enters the authorization information within case management.
• Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers.
• Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases.
• Work with the department manager to respond to and reduce complaints timely and professionally.
• Assist surgery schedulers with STAT authorizations.
• Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines.
• Assists in identifying opportunities for improvement within the daily workflow process.
• Attends department meetings as required.

Surgical Authorization Specialist monitoring and processing surgical case authorizations

Surgical Authorization Specialist in healthcare field ensuring authorizations for surgeries are timely and accurate. Verifying patient insurance eligibility and managing documentation for surgical cases.

• Review and process authorization requests accurately and efficiently
• Verify customer information and supporting documentation for completeness
• Communicate with clients, providers, vendors, and internal departments regarding authorization requirements
• Monitor pending authorizations and follow up to ensure timely resolution
• Maintain accurate records and update authorization status in company systems
• Respond to customer inquiries via phone, email, and online communication platforms
• Ensure all authorizations comply with company policies and regulatory requirements
• Escalate complex or urgent cases to the appropriate department when necessary
• Prepare reports and maintain confidential documentation
• Perform general administrative duties and other tasks assigned by management

Authorization Specialist reviewing and processing requests at Envita Medical Center

Authorization Specialist reviewing and processing authorization requests for Envita Medical Center. Working remotely to ensure compliance and exceptional customer service in a collaborative environment.

Authorization Specialist jobs in Arizona

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Surgical Authorization Specialist

Surgical Authorization Specialist

Surgical Authorization Specialist

Authorization Specialist