Authorization Specialist in La Jolla at Vaco

Date Posted: 2/3/2021

Job Snapshot

  • Employee Type:
  • Location:
    La Jolla
  • Job Type:
  • Experience:
    At least 3 year(s)
  • Date Posted:
  • Job ID:

Job Description

POSITION: Authorization Specialist


LOCATION: 100% Remote, but MUST be a local candidate
SHIFT: 5x8H Days, M-F

COMPLIANCE REQUIREMENTS: Candidate will be expected to complete typical compliance for health care systems upon hire (including providing vaccine records, updated physical, background check, drug screen, etc.)

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.

REQUIRED QUALIFICATIONS: * 6 months Authorization experience, * 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.

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