Authorization Specialist Job at Sports Medicine Associates of San Antonio, San Antonio, TX

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  • Sports Medicine Associates of San Antonio
  • San Antonio, TX

Job Description

Authorization Specialist Location San Antonio, TX :

Seeking immediate hire to join our Business Office as an Authorization Specialist in a high-profile Sports Medicine Group supporting 18 physicians and 7 clinic locations.

DUTIES INCLUDE, BUT ARE NOT LIMITED TO:

  • Interpret insurance benefits and calculate patient responsibility
  • Review chart documentation to ensure patient meets medical policy guidelines
  • Prioritize incoming authorization requests according to urgency
  • Obtain authorizations via payer portals or by phone and follow up regularly on pending cases
  • Initiate appeals for denied authorizations
  • Respond to clinic questions regarding payer medical policy guidelines
  • Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
  • Contact patients to discuss authorization status
  • Other duties as assigned

Qualifications:

  • Knowledge of commercial and governmental insurance plans (HMO, PPO, EPO, etc.) and payer portals
  • Knowledge of NextGen EHR software (preferred)
  • MS Office, basic office support skills (telephone, filing, data entry) and basic math skills.
  • Excellent telephone etiquette, pleasant personality and customer service skills.
  • Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
  • Plans and prioritizes to meet deadlines

EXPERIENCE: Previous experience in a similar role required.

  • 3-4 years medical prior authorization and verification experience required
  • 2 years' experience in a medical related field preferred

High school diploma or GED required

Job Type: Full-time - Monday through Friday with a few rotating Saturday mornings. Traveling involved from one clinic to another based on schedule. Dependable transportation required.

Great benefits: Medical, Dental, Vision, Short Term Disability, Long Term Disability, Life Insurance and 401K.

Job Type: Full-time

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Medical Specialty:

  • Medical-Surgical

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • Weekend availability

Education:

  • High school or equivalent (Required)

Job Tags

Full time, Temporary work, Immediate start, Shift work, Weekend work, Day shift, Saturday, Monday to Friday,

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