About this opportunity
Sports Medicine Associates of San Antonio - SMASA lists this Surgical Authorization Specialist opportunity in san antonio, Texas. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Seeking immediate hire to join our Business Office as an Authorization Specialist in a high-profile Sports Medicine Group supporting 15 physicians and 6 clinic locations.
Responsibilities
Interpret insurance benefits and calculate patient responsibility
Review chart documentation to ensure patient meets medical policy guidelines
Prioritize incoming authorization requests according to urgency
Obtain authorizations via payer portals or by phone and follow up regularly on pending cases
Initiate appeals for denied authorizations
Respond to clinic questions regarding payer medical policy guidelines
Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
Contact patients to discuss authorization status
Other duties as assigned
Qualifications
Knowledge of commercial and governmental insurance plans (HMO, PPO, EPO, etc.) and payer portals
Knowledge of NextGen EHR software (preferred)
MS Office, basic office support skills (telephone, filing, data entry) and basic math skills
Excellent telephone etiquette, pleasant personality and customer service skills
Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
Plans and prioritizes to meet deadlines
Experience
Previous experience in a similar role required.
2 years medical prior authorization and verification experience required
2 years' experience in a medical related field required
Education
High school diploma or GED required
Job Type
Full-time - Monday through Friday with a few rotating Saturday mornings. Traveling involved from one clinic to another based on schedule. Dependable transportation required.
Benefits
Medical, Dental, Vision, Short Term Disability, Long Term Disability, Life Insurance and 401K
Paid time off
Medical Specialty
Medical‑Surgical
Schedule
8 hour shift
Day shift
Monday to Friday
Weekend availability
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Worksite address
san antonio, TX, 78208, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.