Authorization and Insurance Specialist
| Company | Centria Autism |
|---|---|
| Location | Southfield, MI, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | |
| Experience Level | Junior, Mid Level |
Requirements
- High School Diploma or equivalent, minimum requirement
- Relative Revenue Cycle Experience
- Strong analytical skills
- Customer Service and Phone Etiquette
- Proficient in Microsoft Office Suite (Word, Excel, and Access) and CareConnect
- Ability to follow written instructions
- Ability to use computers and computer/software programs
- Ability to communicate expressively and receptively
Responsibilities
- Process and procedure expert for assigned/applicable insurance policies.
- Ability to step in and lead team huddles.
- Ability to step in and lead direct reports in RCM Manager’s absence.
- Audit/track accuracy of Insurance Verification, Eligibility and Authorizations – scope and frequency.
- Knowledge of payor contracts in accordance with guidelines for Financial Clearance.
- Coordinate with related internal staff on front-end “fails” identified.
- Train new team members and assist in any coaching opportunities.
- Work independently and collaborate in a team environment.
- Assist in situations that require additional care and knowledge (new payor).
- Ensure strict confidentiality of client records according to policy and procedures.
- Make administrative and procedural decisions and judgments on sensitive, confidential issues.
- Knowledge of computer data entry systems, protocols, and procedures.
- Communicate effectively, both oral and written, to peers, team members, and payors/insurance companies.
- Collaborate with RCM Billing/AR Teams in collection efforts from respective payors.
- Collaborate with denial management team.
- Other duties as assigned by the RCM Leadership Team.
Preferred Qualifications
- Experience at the hiring manager’s discretion