Job Posted July 7, 2022

Authorization Specialist

Opening with Proliance ProOrtho Orthopedics Sports, Joints & Spine
Job Role: Administrative
Job Type: Full Time

Overview

Position Summary

The role of the Authorization Specialist is to verify coverage and benefits, obtain authorization as needed, and offer financial counseling for all surgeries/procedures provided by our Clinical Team. The Specialist will also assist other Authorization Specialists as needed.

• Updating of patient insurance information, including memo entry for billing documentation
• Contact payers for benefits and eligibility information and to obtain authorization
• Customer service – answer inquiries from patients and/or healthcare providers
• Collect co-pays/pre-pays for approved services
• Order HA medication and deliver to clinic
• Assist other personnel as directed by Billing Manager

• Patient and pleasant personality; works well with a variety of people
• Flexible attitude; adaptable to new challenges and/or projects
• Team player
• Ability to work independently, with little supervision
• Excellent public relations
• Interfaces well with staff and physicians
• Professional demeanor
• Problem solving skills
• Knowledge of medical terminology
• Knowledge of CPT and ICD10 coding
• Skill in basic data entry; 10-key proficiency
• Skill in using a computer
• Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with patients, physician and staff
• Ability to multi-task
• Skill in organizing and reporting information that is accurate and complete
• Knowledge of basic math skills
• Understanding and respecting the need for confidentiality
• Ability to maintain composure in stressful situations
• Skill in establishing and maintaining effective working relationships with all staff
• Ability to prepare records in accordance with detailed instructions
• Ability to sit for long periods of time
• Ability to communicate effectively in person and on the phone
• Consistency and timeliness in attendance

• Minimum two years patient account experience
• Excellent Communication Skills
• Medical billing office experience
• High School education
• Pain Management/HA Injections knowledge preferable
• EPIC and NextGen knowledge preferable

The work environment/physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requires corrected vision and hearing to normal range. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, and sit. Work is performed in an office environment. Some bending and stretching required. Use of telephone is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 25 pounds.

Authorization Specialists are required to work Monday through Friday, with accommodations made only in the event of illness or preapproved time off.

The work environment/physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.

How we are protecting team members from COVID-19?
Employee and patient health and safety is our top priority. At Proliance, we are adhering to CDC, State and local orders regarding COVID-19 and have implemented processes and precautions across our facilities to prevent the spread of COVID-19.

Following the most recent vaccination mandate for healthcare workers in Washington State, and our commitment to the health and safety of our employees and patients, all Proliance employees will be required to provide proof of full vaccination upon hire, or proof of a medical or religious exemption.

Proliance Surgeons offers a generous benefits package including Medical/RX, Dental, Vision, 401k with profit sharing and more! Plus ALL of our employees enjoy the free perks of our employee purchasing program offering a variety of discounts on purchases made every day – including cell phone service!


Proliance Surgeons is proud to be an equal opportunity employer. We are committed to creating an inclusive environment, and we welcome and encourage people of all backgrounds, perspectives, experiences, and skills to apply.


All employment decisions at Proliance Surgeons are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics. 

Care Center

12911 120th Avenue NE Suite H-210
Kirkland, WA 98034-3061

(425) 821-3550

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