Authorization Specialist

The Women's Imaging Center, a practice partner of Together Women's Health, is seeking a full time in person/(not-remote) Authorization Specialists to join their growing medical team. The Authorization Specialist works for the practice under the oversight of the practice manager. Daily tasks may include obtaining authorizations for (but not limited to) procedures, surgeries, medications and imaging. This role will also actively interact with medical staff and patients. 

Key areas of responsibility:

The following duties and responsibilities generally reflect the expectations of this job but are not intended to be all inclusive. 

• Obtain authorizations for MRIs adhering to insurance requirements.
• Verify eligibility and benefits for all procedure codes, ensuring accurate documentation.
• Document work processes meticulously and coordinates paperwork efficiently.
• Respond promptly to urgent/emergent situations with professionalism and compassion.
• Demonstrate exceptional customer service towards patients and their families.
• Ensure efficient telephone communication and collaborate effectively within the authorizations department and across other departments.
• Scheduling and rescheduling patients.
• Being the main advocate for our patients when speaking directly with insurance companies on the phone as needed. 
• Collaborate with healthcare providers to obtain prior authorizations for medical procedures, treatments, and services.
• Review insurance requirements and guidelines to ensure accurate and timely submission of authorization requests.
• Verify patient eligibility and benefits coverage for prescribed treatments and services.
• Communicate effectively with insurance companies, healthcare providers, and patients to facilitate the authorization process and resolve any issues or discrepancies.
• Maintain thorough documentation of authorization requests, approvals, and denials.
• Monitor authorization status and follow up as needed to expedite approvals and minimize delays in patient care.
• Stay informed about changes in insurance policies, procedures, and regulations related to prior authorizations.
• Perform other related duties as assigned.

Required Knowledge, Skills, and Abilities:

• Minimum 2 years of experience as an Authorization Specialist preferred.
• Proficiency in medical terminology, ICD-10, and CPT coding.
• Familiarity with contracted insurance plans and procedures.
• Strong computer and phone skills.
• Excellent organizational and interpersonal skills.
• Ability to prioritize tasks and multitask effectively.
• Must be organized
• Must be able to work well under stressful conditions.
• Must have excellent patient/customer care skills.

Physical Requirements:

• Physical requirements can vary. These must be reviewed with management. However, in general, the position requires the following physical activities:
  • Ability to lift minimum of 2 pounds to a maximum of 20 pounds unassisted; able to sit stand, stoop, walk, stretch, reach frequently; moderate range of body motions.
  • Prolonged periods of sitting at a desk and working on a computer.

What’s in it for you?

Pay Range: $25-26/hr dependent on experience 

As a full-time team member, you will have access to a range of benefits to include: Health Care Plan (medical, dental & vision), Retirement Plan with a generous company match, Life Insurance, Paid Time Off (because we work hard and play hard), Short-Term disability (at no cost to you) and Long-Term Disability...not to mention a team of smart, passionate and friendly people.

Why Together Women’s Health (TWH)?
Because we do things a bit differently here. We’re a rapidly growing network of OBGYN and radiology private practice groups, and while it’s important to know what we are, it’s more important to know what drives us - our mission to improve the lives of our healthcare partners and their patients. Our actions speak louder than those words. We invest in our talented teams and our connection to our core values last longer than a quick glance through the employee handbook - we live them every day! TWH is a place where careers thrive for those who believe the right team can achieve anything.

Together Women’s Health (TWH) is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Reasonable Accommodations:

Applicants with disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act and certain state or local laws. If you need a reasonable accommodation to perform the essential functions of a position, please send an e-mail to HR@togetherwomenshealth.com and let us know the nature of your request and your contact information.