Authorization Specialist

• Job Title: Authorization Specialist
• Job Location: 100% Remote
• Job Duration: 3+ months (with possibility of extension)
• Pay Rate: $36/Hr on W2 (All Inclusive)
• Shift: M-F 8-5 PST

Job Description:

The Financial Clearance and Insurance Authorization Specialist I is an experienced revenue cycle professional responsible for financially securing scheduled and unscheduled hospital and professional services by verifying insurance eligibility and benefits coverage, and by securing insurance pre-certification and/or authorization for inpatient and/or outpatient services. The Specialist communicates the status of coverage/benefits verification and authorization directly with patients and providers, and facilities rescheduling of services as appropriate. The Specialist provides and collects estimated patient liability amounts.

Minimum Requirements: Minimum of 3 years of hospital and/or professional services pre-access or billing experience in an academic or other complex, multispecialty setting. Will consider less than 3 years of experience for candidates with a college degree. Experience must include insurance eligibility and benefits coverage verification, obtaining pre-certification and/or authorization for medical services, and providing explanations and/or estimates of patient financial responsibility. Must have experience with insurance/benefits verification portals or other applications, and experience with Epic or other similar patient registration, scheduling and/or billing information systems

Preferred Requirements: 4 or more years of relevant experience preferred. Experience with both hospital and professional services pre-certification and authorization experience preferred. Prefer experience with benefits verification and authorization initial and additional inpatient hospital days, inpatient and outpatient procedures, outpatient diagnostic services, provider consultations and other visits, prescription drugs, SNF, rehabilitation services, durable medical equipment, and home health. Experience working with Epic registration, scheduling and referral applications preferred.