• Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner. • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans. • Accurately completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services. • Verifies benefits on all surgical procedures. • Document authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within case management. • Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers. • Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases. • Work with department manager to respond to and reduce complaints timely and professionally. • Assist surgery schedulers with STAT authorizations. • Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines. • Assists in identifying opportunities for improvement within the daily workflow process. • Attends department meetings as required.

• Monitors the authorizations of upcoming surgical cases on the physician’s calendars • Ensures authorizations for surgeries are obtained in a timely and accurate manner • Verifies patient demographic information and insurance eligibility including coordination of benefits • Updates and confirms necessary information to allow processing of claims to insurance plans • Accurately completes surgical cost analysis form • Verifies benefits on all surgical procedures • Documents authorizations and progress of authorizations in the patient’s chart • Communicates effectively with physicians, patients, and co-workers • Participates in providing ongoing training and education of staff • Works with department manager to respond to and reduce complaints

Role Description The Authorization Specialist will provide support for verifying current and accurate patient insurance information and to work with insurance companies to obtain authorization(s) for services. - Verify patient benefits and calculate out of pocket costs using multiple insurance resources. - Contact patients regarding out-of-pocket costs prior to patient services. - Obtain, review, and input insurance authorization and referrals prior to patient services. - Monitor and track patient authorizations. - Be proficient in the use of ICD-10 and CPT codes. - Verifies status of participating providers and insurance plans. - Support medical office team members. - Works closely with management team in business office to ensure all internal and external customer service issues are addressed. - Participates in educational activities and attends department team meetings. - Conducts oneself in accordance with company policies and procedures. - Performs other duties as required. Qualifications - Medical office experience: dermatology, plastic surgery, varicose vein, and/or radiation oncology preferred. - Knowledge of HIPAA regulations, insurance payers, ICD-10, CPT codes, and fee schedule reimbursement methodology. - Must be detail-oriented and a self-starter with the ability to work independently. - Possess excellent communication and organizational skills with the ability to multi-task, set priorities, and meet deadlines and departmental metrics. - Must be courteous with excellent customer service skills while maintaining strict confidentiality. - Possess high job accuracy, efficiency, and dependability. - Must have consistent, punctual, and reliable attendance. - Ability to establish effective working relationships with providers, staff, and the public. - Must have access to fast access internet. Requirements - High school graduate, GED or equivalent. - One year of medical office insurance and authorization experience. - Excellent computer, multi-tasking, phone, and electronic faxing skills. - Knowledge of Practice Software System/s. - Knowledge of Microsoft products. Benefits - Medical, Dental, and Vision are available after 30 days of hire. - Short-term disability and life insurance, and many ancillary options. - 10 days of PTO with an increase to 15 days upon completing 1st year. - 401 (k) available after 90 days of hire. - Excellent growth and advancement opportunities. - Discounts on services.