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Insight Global · Atlanta, GA

Authorization Specialist

mid_levelcontract$41,600 / yearPosted today
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Required Skills & Experience

High school diploma

3 years experience in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle

Effective verbal and written communication skills; ability to make outgoing phone calls with a patient

centered approach.

• Ability to handle multiple priorities and deadlines; strong time management and organization.

• Ability to work as a member of a team.

• Skill and ability to work effectively in Epic/EMR environments (documentation and coordination).

• Familiar with medical terminology and ICD-10/CPT codes.

• Strong math and payer benefit knowledge with the ability to calculate financial responsibility accurately.

• Ability to provide culturally sensitive services to patients from different cultures.

• Ability to maintain composure in stressful situations while working with the public and internal customers.

• Demonstrated competence in written and oral communications; ability to communicate effectively both

verbally and in writing.

• Demonstrated skill in managing multiple priorities, deadlines, and processing new information with minimum

supervision.

• Skill and ability in Microsoft Office applications and general computer skills necessary to work effectively in an

office environment.

• Translation and comprehension skills required to read medical orders; ability to work as a member of a team.

Nice to Have Skills & Experience

4 years healthcare rev cycle experience preferred

HFMA certification and/or Certified

Revenue Cycle Representative

Prior Epic experience

Previous experience in the oncology setting

Experience providing culturally sensitive support and coordinating resources for

patients with complex barriers to care. Preferred

Experience with validating NCCN guidelines

Job Description

Serves as front-line support for the oncology-related services within Piedmont Healthcare. Reviews account for

oncology-related services to ensure completeness prior to patient arrival. Prepares for patient visit(s) by

verifying insurance coverage, confirming benefits, determining authorization requirements, initiating and

obtaining pre-certification/prior authorization for recurring visits, and creating estimates to determine pre

service patient liability. Reviews treatment and therapy plans, confirms frequency/length as needed, verifies

orders with administration, and pulls additional clinical information from required information systems to support

accurate financial clearance.

In addition, the Financial Advocate helps reduce barriers to timely oncology care by identifying financial

risk/financial distress, educating patients on coverage and expected out-of-pocket responsibility, providing

information on financial resources to patients/guarantors, and coordinating referrals to appropriate internal and

external support resources.

$20/hr to $25/hr. - Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law

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