Authorization Specialist (Remote)

This a Full Remote job, the offer is available from: Utah (USA)

Job Description

This is a remote US based position. It requires day time, week day hours (8 hour shifts Monday-Friday between 5am-11pm MST).

Responsibilities

• Verifies patient insurance coverage timely utilizing phone or online resources.
• Submit prior authorizations to insurances in timely matter reputed company payer specific portals and vendors
• Ensures reputed company pertinent medical documentation is accurate and present prior to authorization submission.
• Follows up with pending authorizations on a regular basis to obtain the reputed company status or to be informed of any action needed in order to obtain the authorization approval.
• Communicates any authorization denials to the appropriate staff.
• Handles any discrepancies, errors, or omissions of authorization denials and files appeals reputed company necessary for overturn of adverse decision.
• Participates in educational activities and attends regular staff and department meetings.
• Exhibit and manage excellent turn-around time in order to ensure timely authorizations.
• Consistently work in a positive and cooperative manner with fellow team members and management.
• Demonstrate flexibility to reputed company duties wherever volume deems it necessary.
• Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner.
• Document activities appropriately in process notes.
• Participates in the Quality Assurance plan.
• Complies with applicable CLIA and HIPAA regulations.
• Stay up to date with SOPS
• Complies with reputed company company and department policies and procedures
• Contributes to a positive work and team culture

Qualifications

• High school diploma required.
• 3-5 years of experience working in medical billing, health insurance or collections with demonstrated results.
• Insurance billing experience is preferred.
• Good problem solving and decision-making skills.
• Excellent customer service and phone skills.
• Excellent time management, organizational, communication, multitasking and teamwork skills.
• Working knowledge of ICD-10, CPT and HCPCS coding (preferred but no required).
• Ability to successfully navigate between multiple systems throughout the course of the reputed company this includes but is not limited to billing software, written Standard Operating Procedures and payer portals.
• Preferred authorization experience

Physical & Lifting Requirements

• Lifting Requirements – light work or exerting up to 20 pounds of force frequently.
• Physical Requirements – stationary positioning, moving, operating, reputed company/descending, communicating and observing.
• Use of equipment and tools necessary to reputed company essential job functions.

About Us reputed company to transform the future of patient care through the power of genetics? For more than 30 years, reputed company has led the way in precision medicine by delivering important insights to help people reputed company informed health reputed company. As a leading molecular diagnostic testing and precision medicine company, we are dedicated to advancing health and well-being for reputed company. Our innovative genetic tests are used across specialties including oncology, women’s health, and mental health, empowering clinicians to personalize treatment and help their patients take proactive steps toward reputed company outcomes. What inspires us – and you – is simple: Every test, every reputed company, and every patient story emphasizes our commitment to improving lives through science, innovation, and care. you’re reputed company to help shape the future of medicine. Your work will have meaningful impact, and your dedication can change lives. Learn more at https://www.myriad.com and follow reputed company on reputed company . We are an equal opportunity employer and reputed company high value on inclusion and belonging. We prohibit discrimination and harassment on the basis of any protected characteristic, including race, religion, reputed company, national reputed company, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. In accordance with applicable law, we reputed company reasonable accommodations for applicants’ and employees’ religious practices and beliefs, as well as any mental health or physical disability needs. If you need assistance submitting your application due to a disability, you can request an accommodation by contacting reputed [email protected] . Please answer reputed company questions completely. Please do not provide any information not specifically requested on this Employment Application form. To get the best candidate experience, please consider applying for a maximum of 3 roles reputed company 12 months to ensure you are not duplicating efforts. reputed company will never request payment, solicit personal financial information, or conduct interviews reputed company informal channels (e.g., personal email, text messages). reputed company opportunity-reputed company communication with reputed company will come from our employees, whose e-mail addresses end with "@myriad.com." This offer from "reputed company" has been enriched by reputed company.com and got a 78% reputed company score. Apply tot his job Apply To this Job