Authorization Representative in La Jolla at Vaco

Date Posted: 3/19/2020

Job Snapshot

  • Employee Type:
  • Location:
    La Jolla
  • Job Type:
  • Experience:
    At least 1 year(s)
  • Date Posted:
  • Job ID:

Job Description

Job Description: The Authorization Specialist 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 patient and providers, and facilities rescheduling of services as appropriate. The Specialist provides and collects estimated patient liability amounts

**MUST HAVE SOLID 6 MONTHS OF AUTHORIZATION EXPERIENCE IN A HEALTHCARE SETTING. MUST BE RECENT, WITHIN 1-2 YEARS.** **WILL ACCEPT CANDIDATES WHO HAVE RECENT EXP. AS AN MA** Patient billing and registration experience do not suffice. Please make sure candidates have authorizations experience in a healthcare environment. 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.

REQUIRED EXPERIENCE: Authorization experience, Knowledge of calculation of out of pocket liability, hospital and/or professional services, peer to peer authorizations, coordination of benefits, and billing codes.

PREFERRED: 3-4 years of hospital and/or professional services pre-access in an academic or other complex multi specialty setting. EPIC knowledge.