Become an Assembler! We are looking for an Authorization Specialist to join our Physician RCM division. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.
This is a full-time, non-exempt position reporting to our Executives. It is on-site in our Ashland, VA office.
· Remotely access and monitor department schedules on an ongoing basis through the day for multiple outpatient hospital departments.
· Responsible for the timely submission of medical authorizations to cover physician and hospital services.
· Review clinical documentation and relay pertinent information to insurance companies to ensure all services are authorized.
· Document eligibility, benefits, and authorization information in accordance with established guidelines.
· Research patient accounts due to invalid and/or missing authorization information and correspond with clients, insurance companies, patients, to obtain the necessary information to ensure accurate, timely, and complete claims submissions.
· Verify prior authorization and/or pre-services requirements are met.
· Proactively manages and maintains all outstanding authorization accounts to increase billing of clean claims.
· Provide outstanding customer service to patients and develop and maintain positive working relationships with internal and external customers.
· Identify and report trends and prior authorization issues relating to billing and reimbursement.
· Document all account activity and correspond to inquiries, in a timely manner.
· Reviews accounts daily while meeting or exceeding all daily, weekly, and monthly goals.
· Communicates and works effectively with colleagues from other departments.
· Maintains confidentiality of all PHI.
· Performs other related duties as required or assigned.
· High School Diploma required; college degree preferred.
· 1+years of revenue cycle experience.
· Knowledge and skillset to review technical billing (CMS 1500 / UB 04) components provided by Client Hospital accuracy. Make necessary changes, as required, in accordance with billing laws.
· Maintain account integrity by documenting account activities to ensure audit trial.
· Computer literacy with spreadsheets, word-processing, and database software and/or business systems (Word, Excel, Outlook, etc.)
· Good analytical skills and demonstrated attention to detail.
· Knowledge of healthcare terminology
· Proficient with data entry and multi-tasking
· Strong communication skills: including written, grammar and verbal communication skills with ability to interact with all levels of an organization.
· Team player, problem-solver, and a self-starter attitude.
· Excellent time management skills and ability to adhere to schedules/deadlines.
· Ability to function well in a fast-paced and at times stressful environment.
· Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.
· Be part of something special! We are growing both organically and through acquisitions.
· Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
· Ongoing training and development programs
· An environment that values transparency
· Virtual and in-person events to connect with your team.
· Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.