Authorization Specialist

AQUA DERMATOLOGY MANAGEMENT LLC

10d

About The Position

AQUA Dermatology is Florida’s largest and most comprehensive full-service skincare provider in the Southeast. We offer medical, surgical, and cosmetic dermatology, plastic surgery, vein care, and radiation oncology. Since 1998, we have been dedicated to delivering high-quality outcomes and exceptional patient experiences across over 110 locations in Alabama, Florida, and Georgia. 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.

Requirements

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.
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.

Responsibilities

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.