Insurance Authorization Specialist
Company: Aston Carter
Posted on: January 8, 2022
This location has two openings:
- Surgeries Dept.
- Outpatient Diagnostic Testing Dept. Description:This individual
will be working out of a work que. From that work que, there will
be a list of all of the patients that require authorizations. 1.
Will work in EPIC and Experion for verifying the benefits for these
tests - will have to attach a referral with the authorization
information to attach to the accounts within EPIC2. Verify
insurance online or via telephone. Mostly online via the insurance
websites3. Submit clinical information from the physician who is
ordering the tests4. Via secured fax, submit the clinical work for
the authorization 5. Insurances will sometimes need additional
information for insurance verification so there can be back and
forth communication, requesting the physician office to contact the
insurance provider to discuss why this patient needs the test6.
There is a legal process where essentially the insurance provider
can give a hospital facility a denial, pending a peer to peer 7.
They do not do the scheduling, but they need somebody who can
report back when processes are not being done correctly in
schedulingSkills & Qualifications:1. Experience submitting and
coordinating authorizations 2. Insurance knowledge 3. Medical
terminology 4. CPT Coding 5. Authorization process6. Critical
thinking skills 7. Understanding of diagnostic testing
About Aston Carter:
At Aston Carter, we're dedicated to expanding career opportunities
for the skilled professionals who power our business. Our success
is driven by the talented, motivated people who join our team
across a range of positions - from recruiting, sales and delivery
to corporate roles. As part of our team, employees have the
opportunity for long-term career success, where hard work is
rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and
consulting firm, providing high-caliber talent and premium services
to more than 7,000 companies across North America. Spanning four
continents and more than 200 offices, we extend our clients'
capabilities by seeking solvers and delivering solutions to address
today's workforce challenges. For organizations looking for
innovative solutions shaped by critical-thinking professionals,
visit Aston Carter is a company within Allegis Group, a global
leader in talent solutions.
The company is an equal opportunity employer and will consider all
applications without regards to race, sex, age, color, religion,
national origin, veteran status, disability, sexual orientation,
gender identity, genetic information or any characteristic
protected by law.
If you would like to request a reasonable accommodation, such as
the modification or adjustment of the job application process or
interviewing process due to a disability, please call 888-237-6835
or email for other accommodation options. However, if you have
questions about this position, please contact the Recruiter located
at the bottom of the job posting. The Recruiter is the sole point
of contact for questions about this position.
Keywords: Aston Carter, Chesapeake , Insurance Authorization Specialist, Other , Chesapeake, Virginia
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