New England Life Care logo
New England Life Care

Collaborating to transform the patient care continuum

Authorization Specialist

Location

Connecticut + 6 moreAll locations: Connecticut | Florida | Maine | New Hampshire | North Carolina | Maryland | Massachusetts

Posted

8 days ago

Salary

$21 - $22 / hour

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Authorization Specialist

New England Life Care

• Obtain and maintain prior authorization status for NELC patient medications/therapies • Work closely with the clinical review department to obtain documentation needed to complete the authorization process • Obtain needed documentation to support the billing department in meeting payer requirements for patient accounts

Job Requirements

  • At least three years of authorization or billing experience
  • High School Diploma or equivalent required
  • Minimum of 2 years authorization, reimbursement, or claims processing experience required
  • Practical experience with medical terminology; CPT, ICD-9 and HCPC coding preferred
  • Practical experience with Medicare, Medicaid and third-party payor contracts preferred
  • Knowledge of HIPAA Privacy and Security requirements preferred
  • Excellent organizational skills required
  • Basic accounting transaction/analyst skills required
  • Demonstrated ability to identify research and solve problems required
  • Ability to work independently as well as part of a team required
  • Practical experience with Microsoft computer systems and applications, to include Word & Excel

Benefits

  • Remote position
  • Room for growth and potential for advancement
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Generous employer-matched 403b savings program
  • Company paid: Life insurance, Short- and long-term disability insurance
  • Paid time off
  • And much more!

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