Authorization Specialist Remote Jobs in Arizona (US)
This page tracks remote authorization specialist openings that are location-eligible for Arizona.
This page tracks remote authorization specialist openings that are location-eligible for Arizona.
Open jobs
6
Hiring companies this week
2
Salary sample
Not enough data
Jobs added last hour
0
6 Jobs
5 Companies
• Review and process authorization requests accurately and efficiently • Verify customer information and supporting documentation for completeness • Communicate with clients, providers, vendors, and internal departments regarding authorization requirements • Monitor pending authorizations and follow up to ensure timely resolution • Maintain accurate records and update authorization status in company systems • Respond to customer inquiries via phone, email, and online communication platforms • Ensure all authorizations comply with company policies and regulatory requirements • Escalate complex or urgent cases to the appropriate department when necessary • Prepare reports and maintain confidential documentation • Perform general administrative duties and other tasks assigned by management
Piedmont Healthcare delivers compassionate, quality care for the communities surrounding Atlanta, Georgia, and northern Georgia. The independent nonprofit healt
Role Description Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR). - Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed. - Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. - Notify payers of admittance if required. Qualifications - H.S. Diploma or General Education Degree (GED) - Required - Bachelor’s Degree from a recognized college or university - Preferred - Completion of medical coder training program - Preferred Requirements - 3 years exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle - Required - 4 years of previous related healthcare Revenue Cycle experience - Preferred - Prior Epic experience - Preferred - Clinical experience (i.e., medical assistant, surgical tech) - Preferred Company Description Business Unit: Company Name - Piedmont Healthcare Corporate
Truist is an Equal Opportunity Employer that does not discriminate on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status, or other classification protected by law. Truist is a Drug Free Workplace.
Role Description Create and maintain operating procedures for the Consumer & Small Business Banking that comply with overarching operational policies that support Truist values and protect the relationship of the company within the marketplace and regulatory communities. Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. - Create and maintain teammate operating procedures with a moderate to high technical complexity, focusing on efficiency, accuracy, and reducing ambiguity. Assess the need for end user communication when changes are needed or new procedures are created, assist with that communication, and coordinate publication dates. - Develop and maintain partnerships with Compliance, Legal, Risk, Subject Matter Experts, and End Users through open, timely, and accurate communications. Evaluate and respond to end user feedback by providing answers to teammate questions and scheduling procedure updates as needed. - Maintain an awareness of the intended and unintended consequences of actions. Assess gaps in processes and make recommendations to solve concerns. Use strategic thinking skills to influence change and gain buy-in from partners. - Perform an annual review of operating procedures, partnering with appropriate teammates, to determine if changes are needed to comply with regulatory/process changes. Document the review and coordinate end user communication. - Act as a mentor for other Procedure Specialists, provide training, and assist the Knowledge Delivery Manager with answering daily questions. - Manage competing priorities effectively and stay organized even with highly detailed work. Day-to-day activities include attending project meetings, updating procedures, educating partners on workflow, managing workflow, reviewing/publishing procedures, and escalating risk-based concerns. Qualifications - Bachelor's degree, or equivalent education and/or related training - 5 years' experience in a related field of banking operations or retail/commercial banking - Demonstrated strong interpersonal, leadership, communications, and analytical skills - Intermediate PC skills to include a good working knowledge of Microsoft Office - Demonstrated ability to prioritize, delegate, follow up, and expedite all issues daily - Solid knowledge of financial industry applicable laws such as Patriot Act, AML, and BSA, core deposit products and related activities, and banking systems Requirements - College Degree with a focus on business or technical writing or 3 years' experience in multiple areas of bank operations - At least two years of experience writing procedures for Truist - Experience with quality review, audits, and regulatory reporting - Experience with Truist lending processes and systems Benefits - Medical, dental, vision, life insurance, disability, accidental death and dismemberment - Tax-preferred savings accounts and a 401k plan - No less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during the first year of employment - 10 sick days (also prorated) and paid holidays - Eligibility for Truist’s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan
HOPCo is the leading provider of musculoskeletal value-based health outcomes, service line and practice management.
• 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.
HOPCo is the leading provider of musculoskeletal value-based health outcomes, service line and practice management.
• 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
Founded in 1998, AQUA Dermatology is the Southeast’s premier dermatology practice with over 110 locations throughout Florida, Georgia, and Alabama. Our established practices and experienced physicians offer patients the most quality outcomes and exceptional patience. From common rashes to skin cancer treatments, plastic surgery procedures to an array of vein treatments, no case is beyond our experience and expertise!
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.
Stack data is limited for this slice right now.