Authorization Specialist- Urology

Job Description

Job Description

Urology office is looking for a qualified and experienced Authorization Specialist in our fast-paced out-patient urology clinic. This position could be filled in either Gilbert or Phoenix.

Schedule: Full-time, Monday through Friday day shift position.

Essential Duties and Responsibilities:

• Enter patient demographic including insurance into the computer system.
• Works patient accounts out 3-5 days.
• Determine authorization status by confirming in computer and chart previous notation regarding expiration date(s) and confirming drug(s) for treatment including injections.
• Provide the Benefits Coordinator with any new information on insurance coverage and/or new drugs added to protocols.
• Confirm the correct insurance from review of computer and chart.
• Obtain authorization for patient visits and treatment in the office prior to DOS.
• Record in chart and in computer the number of visits, detailed description of the authorization, the expiration date, and name of the insurance carrier.
• Recheck authorization(s) every 6 months if no activity has occurred with treatment. Run reports of authorizations that are terming prior to treatments.
• Complete working knowledge of all insurance company requirements as they relate to authorization.

Knowledge and Skills:

• Knowledge of insurance company’s procedures and policies.
• Knowledge of governmental, legal and regulatory provisions related to HIPAA.
• Knowledge of chemotherapy related drugs and supplies utilized.
• Knowledge of diagnostic testing and radiation procedures.
• Knowledge of CPT, ICD-9, HCPCS coding.
• Knowledge of basic mathematics.

Education and Experience:

• Minimum of 2 years authorizations experience.

We offer a competitive salary and a comprehensive benefit package including health/dental/vision and life insurance, 401K, and a caring work environment. We are an E.O.E.