Authorization Specialist Job at Reeves County Hospital District
Description
The Authorization Specialist must have hands on experience in obtaining preauthorization for tests and procedures as well as prior authorizations for drug orders. It is necessary to be efficient, well organized and resourceful, be able to multitask, be a team player, and work under pressure.
This position is responsible for ensuring that the appropriate insurance pre-certification or preauthorization (for patient with an insurance that requires pre-certification/pre-authorization) is obtained prior to the provision of an exam or service. The Authorization specialist is also accountable for verifying (after the fact) that the pre-certification/preauthorization matches the exams that were actually performed.
This position requires very strong interpersonal and communications skills, as well as knowledge of third party insurance pre-certification/preauthorization policies and procedures.
Requirements
- Education: High School graduate or equivalent.
- Some experience in medical billing or insurance authorization (strongly preferred)
- Obtained or will obtain the Prior Authorization Certified Specialist (PACS) certification within 6 months of hire
- Minimum 1-2 years’ experience with, and knowledge of, CPT codes, ICD-10 codes, and medical terminology
- Basic computer skills
- Proficient in Microsoft Outlook, Word and Excel
- Attention to detail
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