20 Best authorization specialist jobs (Hiring Now!)

Reimbursement Specialist - Ardmore, OK
Lighthouse Behavioral Wellness Centers —Ardmore, OK
Bachelor’s degree preferred but not required in a relatable field or relevant work experience and certifications may be considered in lieu of a degree.
$24.15 an hour
Referral Specialist, RN, Health Plan
Sanford Health —Sioux Falls, SD
Currently holds an unencumbered registered nurse (RN) license with the State Board of Nursing. Ensure services comply with professional standards, national and…
$27.50 - $44.00 an hour
Quick Apply
1d
Onsite Release of Information Specialist
Verisma —Harrisburg, PA
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred. 2+ years of experience completing clerical or office…
$15.25 - $19.00 an hour
Medical Assistant
Ko'olauloa Health Center —Kahuku, HI
Assists in answering telephone calls, documents phone messages and ensures follow up by the appropriate persons. Stocks exam rooms with needed supplies.
$16.50 - $19.50 an hour
Quick Apply
Prior Authorization Specialist - Physical Therapy
Silna Health —Remote
Chance to move from contractor to a well compensated full time position, which includes benefits and equity in the company. An highly competitive hourly rate.
$25 - $28 an hour
Quick Apply
Senior Patient Access Specialist
Ensemble Health Partners —Tulsa, OK
Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. Each associate will earn a professional certification…
Estimated: $28.3K - $35.9K a year
Quick Apply
Medical Assistant
Capital Cardiology Associates —Albany, NY
The Medical Assistant will be cross trained at the check in/out desks as well, assisting in checking patients in/out, verifying demographics and insurance…
From $20 an hour
Quick Apply
Prior Authorization Specialist
Omega-Himagine Solutions —Remote
The ideal candidate will be responsible for verifying insurance coverage, obtaining prior authorizations for medical procedures, and ensuring compliance with…
From $24 an hour
Quick Apply
Oncology Authorization Specialist
Cookeville Regional Medical Center —Cookeville, TN
This position is responsible for oncology billing processes including registration, authorization/pre-certification, billing, followup, collections and…
$15.00 - $17.23 an hour
Authorization Specialist II
Centene Corporation —Texas
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
Estimated: $38.6K - $48.9K a year
9h
Prior Authorization Specialist
Manpower —Honolulu, HI
Active Pharmacy Tech certification/License. This is NOT entry level-Must have experience (Certified Pharmacy Tech) Don’t wait. Clean and safe work environment.
$23.50 an hour
Quick Apply
4d
Oncology Prior Authorization Specialist
Squad Health —Remote
Document all steps taken in research/process of the case entering information into the team database. Navigation services include risk assessments, prior…
$17 - $25 an hour
Quick Apply
Authorization Specialist
Structured Health Services —Remote
Review medical documents and orders with a high level of precision to answer clinical question questions. Experience with order entry/transcription within an…
$18 - $23 an hour
Quick Apply
Prior Authorization Specialist - 100% Remote
TRA Medical Imaging - Downtown Tacoma —Remote
Works closely with technologists, front desk, and scheduling staff to make sure exam and authorizations are accurate. Medical, dental and vision benefits.
$18.56 - $22.08 an hour
Quick Apply
1d
On-Site ROI Medical Records Specialist
Sharecare —Minneapolis, MN
May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
Estimated: $33.6K - $42.5K a year
Primary Care Medical Billing Specialist
Primary Care Clinics in Lake Havasu City AZ —Lake Havasu City, AZ
Associate degree required (Bachelor's Degree in Business or related field preferred). Posting charges and completion of claims to payers in a timely fashion.
$18 - $20 an hour
Quick Apply
Quality Assurance Specialist I
INTERIM INC. —Salinas, CA
Valid California driver's license; auto in safe operating condition; auto liability insurance; good driving record; criminal record clearance; proof of…
$34.48 - $44.90 an hour
11d
Dental Billing Specialist/Treatment Coordinator
Oxnard Dental Office —Oxnard, CA
Applicants must have experience in the dental field to apply for this position. High school diploma or equivalent required; associate's or bachelor's degree…
$19 - $24 an hour
Quick Apply
7d
Patient Access Specialist
SPR Therapeutics Inc —Brooklyn Park, MN
The Patient Access Specialist is responsible for various functions in support of patient access to the SPRINT PNS System including but not limited to…
Estimated: $43.4K - $54.9K a year
Insurance Verification Specialist
Michigan Weight Loss Institute —Sterling Heights, MI
Experience of verifying insurances eligibility and benefits is required. Experience with prior authorizations preferred but not required.
$19 - $20 an hour
Quick Apply
9h

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Reimbursement Specialist - Ardmore, OK

Lighthouse Behavioral Wellness Centers - Ardmore, OK

Apply Now

Job Details

Full-time $24.15 an hour

Benefits

Continuing education credits
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching

Qualifications

Microsoft Excel
English
Research
Bachelor's degree
Medical billing
Medical Billing & Coding
Employee evaluation

Full Job Description

A Lighthouse is needed to help guide the way; to emit a light that helps navigate turbulent times and warn against the possible dangers ahead. Lighthouse Behavioral Wellness Centers is just such a place, guided by its core values of Hope, Dedication and Community.

As a Reimbursement Claims Specialist, you will review provider claim denials for all Medicaid (Oklahoma Health Care Authority) and Department of Mental Health and Substance Abuse Services (ODMHSAS) and will take all steps necessary to correct denials, assess and monitor trends and provide feedback to ensure resolution and establish steps to avoid future denials.

To meet the increasing needs of our communities it is imperative that all team members understand and successfully reach and maintain the expected performance standard levels. In order to achieve total and sustainable success each person must do their part. Lighthouse will do its part in providing any and all necessary tools and training required to help team members be successful.

DEFINITION:

Under immediate to general supervision, provides reimbursement claim management for all OHCA and ODMHSAS claims. This position is supervised by the Chief Financial Officer.

EDUCATION AND EXPERIENCE:

Bachelor’s degree preferred but not required in a relatable field or relevant work experience and certifications may be considered in lieu of a degree.

Experience with medical billing/claims, explanation of benefits and denial codes is required.

KNOWLEDGE AND SKILLS:

Ability to work effectively and courteously with people from various cultures and backgrounds, and to exercise good professional judgment.

Ability to communicate effectively, orally and written. Able to follow oral and written instructions.
High attention to detail and the ability to multi-task

Experience in Excel and Word

Ability to research and investigate billing and payer policies.

Able to assess and identify trends and make recommendations regarding the outcome.

JOB DUTIES AND RESPONSIBILITIES:

This position is responsible and held accountable for the following duties:

Review and resolve denied billing problems to ensure accurate and complete billing.
Monitors weekly denied billing based on the following: documentation, billing accuracy, medical necessity, coding, modifier and related issues.
Using data from the weekly monitoring, identifies and rectifies billing and documentation errors.
Makes recommendation to Supervisors and Compliance regarding documentation processes and training.
Responsible for checking all submitted Pl benefits requests daily and notifying clinic staff of results.
Work with clinic staff to ensure guarantors are entered in EHR correctly.
Review daily and work with billing staff to clear denied billing and post payments/adjustments to consumer accounts.
Work with current Insurance clerk to maintain active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers and Medicare.
Work closely with Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to billing and provider credentialing.
Maintain accurate provider profiles on CAOH and Clearinghouse program.
In conjunction with Quality Improvement Specialist, educates and provides training on proper billing, follow-up, and documentation practices.
Will actively manage, maintain, and communicate denial/ appeal activity to the Chief Financial Officer and Site Supervisors and report suspected or emerging trends related to payer denials.
Maintains documents and records in an orderly manner and files them quickly and accurately.
Completes all agency documentation of services in a thorough, accurate and timely manner. Regular and predictable attendance is an essential job requirement.
Employee must be willing and able to perform all job-related travel normally associated with this position.
Must meet agency standards of productivity and fiscal responsibility.

Must meet "satisfactory" expectations at any scheduled job performance evaluation, coaching and/or Performance Improvement Plans.

Assessment and appraisal of quality of work will be evaluated through training, skill, chart review or special purpose.

Performs other reasonably related duties as assigned by the immediate supervisor or other management as requested.

Must perform the specific job duties as listed above to meet position expectations.

In addition, must possess skill in working cooperatively and effectively with clients, staff, management, and other professional and community groups; in exercising mature judgment in dealing with people; in presenting ideas clearly and accurately; in reading and comprehending the English language; and in communicating effectively, both orally and in writing.

BENEFITS

Lighthouse offers an excellent benefits package to full-time employees. Benefits include: 100% employer-paid premiums for health, dental, life, and vision insurance; generous paid leave including PTO, sick, and agency holidays, employer matching 401K plan, and paid continuing education.

401(k)
Dental insurance
Flexible spending account
Health insurance
Paid time off
Vision insurance

Job Type

Full-time

Ability to commute/relocate:

Ardmore, OK: Reliably commute or planning to relocate before starting work (Required)

Work Location

One location

Apply Now

authorization specialist jobs

Reimbursement Specialist - Ardmore, OK

Referral Specialist, RN, Health Plan

Onsite Release of Information Specialist

Medical Assistant

Prior Authorization Specialist - Physical Therapy

Senior Patient Access Specialist

Medical Assistant

Prior Authorization Specialist

Oncology Authorization Specialist

Authorization Specialist II

Prior Authorization Specialist

Oncology Prior Authorization Specialist

Authorization Specialist

Prior Authorization Specialist - 100% Remote

On-Site ROI Medical Records Specialist

Primary Care Medical Billing Specialist

Quality Assurance Specialist I

Dental Billing Specialist/Treatment Coordinator

Patient Access Specialist

Insurance Verification Specialist

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