Authorization Specialist
Core
Ensures accurate coding of patient and insurance information to obtain authorizations and maximize reimbursements for healthcare providers.
Role type
Authorization Specialist (Healthcare Revenue Cycle)
Builds
Insurance authorizations and claim submissions for healthcare providers
Domain
Healthcare administration and insurance billing
Deliverable
client delivery
Required skills
Medical coding (ICD, CPT, J codes), Medical terminology, Insurance carrier communication, Data analysis, Record keeping systems
Preferred skills
Ambulatory patient care administration, Insurance fraud/abuse recognition, Medication reimbursement processing, Managed care review
Technologies
None explicitly stated
Responsibilities
Communicate coded information to insurance carriers, Maintain public relations with patients and families, Organize record keeping systems, Perform insurance carrier/managed care reviews
Seniority
Mid-level IC