Authorization Specialist

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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.

What you'll do

·       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.

What we're looking for

·       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.

Why join the team?

·       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.


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