Authorizations Specialist

Job Description

Job DescriptionDescription:

The Authorization Specialist is responsible for ensuring the insurance authorization process is completed and updated for patients in a timely and efficient manner. This position obtains authorization for treatment, documents findings and communicates with therapists and patient responsible parties.

Benefits of Working at APT:

• Health, Dental, and Vision Insurance
• 100% Company Provided Life Insurance
• Disability Insurance
• Paid Time Off
• 401(K) Match
• Opportunities for Advancement
• And so much more!

In this role, you will play an important part in helping children and their families receive the therapy services that they need in a fun and exciting location!

Position Responsibilities:

• Obtains and verifies authorization for treatment from insurance companies for new and existing patients.
• Ensures accuracy and completeness of information requested; confirms all supporting documents are present.
• Documents authorizations for treatment into patient’s electronic medical records; communicates information to therapists and patient legal guardian.
• Assist with medical necessity documentation to expedite approvals and ensure follow-up is performed.
• Monitors assigned patient records to ensure prescriptions for treatment are not close to expiration; contact physician’s office as needed to obtain updated prescriptions for treatment.
• Timely and accurate review of all prescriptions to ensure authorization the authorization and diagnosis match, level and number of visits match, and information is entered correctly into patient’s EMR chart.
• Monitor assigned to ensure authorization for treatment are not nearing expiration; obtain treatment authorizations from insurance companies as necessary.

Requirements:

Qualifications & Education (include, but are not limited to):

• High school graduate or equivalent.
• Must have at least two years of experience in a medical office setting.
• Excellent oral and written communication skills.
• Prior electronic medical records (EMR) experience helpful.
• Ability to use discretion in handling confidential information.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.