Authorization Specialist

Overview:

North Shore Associates , a practice partner of Together Women's Health , is seeking a full time A uthorization Specialist to join their growing medical team. The Authorization Specialist works for the practice under the oversight of the practice manager. Daily tasks may include obtaining authorizations for (but not limited to) procedures, surgeries, medications and imaging. This role will also actively interact with medical staff and patients.

This role will be cross-trained for front desk coverage.

Key areas of responsibility:

The following duties and responsibilities generally reflect the expectations of this job but are not intended to be all inclusive.

• Authorize scheduled procedures to include surgeries, medications, imaging and other items needing authorization with insurance. Verify eligibility and benefits for all procedure codes.
• Pre-collect payment for surgeries and other procedures as required by department
• Document work processes as required
• Coordinate processes and route all paperwork as required to meet physician and facility requirements
• Must be able to recognize and respond appropriately to urgent /emergent situations.
• Demonstrate courtesy and helpfulness toward patients and / or their families.
• Ensure efficient telephone communication when required
• Work as a team member within the authorizations department and all other departments
• Performs other related duties as assigned.

Required Knowledge, Skills, and Abilities:

• 3+ years as Authorization Specialist preferred.
• Medical terminology, ICD-10 and CPT coding knowledge
• Knowledge of contracted insurance plans and procedures
• Solid computer and phone skills
• Strong organizational and interpersonal skills
• Ability to prioritize responsibilities and multi-task efficiently and effectively

Physical Requirements:

• Physical requirements can vary. These must be reviewed with management. However, in general, the position requires the following physical activities:
  • Ability to lift minimum of 2 pounds to a maximum of 20 pounds unassisted; able to sit stand, stoop, walk, stretch, reach frequently; moderate range of body motions.
  • Prolonged periods of sitting at a desk and working on a computer.

What’s in it for you?
As a full-time team member, you will have access to a range of benefits to include: Health Care Plan (medical, dental & vision), Retirement Plan with a generous company match, Life Insurance, Paid Time Off (because we work hard and play hard), Short-Term (at no cost to you) and Long-Term Disability...not to mention a team of smart, passionate and friendly people.

Why Together Women’s Health (TWH)?
Because we do things a bit differently here. We’re a rapidly growing network of OBGYN private practice groups, and while it’s important to know what we are, it’s more important to know what drives us - our mission to improve the lives of our healthcare partners and their patients. Our actions speak louder than those words. We invest in our talented teams and our connection to our core values last longer than a quick glance through the employee handbook - we live them every day! TWH is a place where careers thrive for those who believe the right team can achieve anything.

Together Women’s Health (TWH) is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Reasonable Accommodations:

Applicants with disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act and certain state or local laws. If you need a reasonable accommodation to perform the essential functions of a position, please send an e-mail to [email protected] and let us know the nature of your request and your contact information.