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Accounts Payable Specialist- Yardi

Coconut Grove, FL · On-site

$60K - $65K/yr

Match invoices with purchase orders, contracts, and receiving documentation to ensure accuracy and proper authorization. * Assist with month-end closing activities by preparing AP accruals and ...

El Centro Family Health

Pharmacy Assistant

NM · On-site

$17.50 - $22.25/hr

Direct medication refill requests electronically for provider authorization. * Assist provider with medication prior authorizations. * Manage Sublocade/Vivitrol patient inventory * Manage naloxone ...

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Authorization Assistant information

Is prior authorization work from home possible?

Authorization assistants often have the opportunity to work remotely, especially in roles that involve reviewing documents, communicating with healthcare providers, and using electronic health record systems. Many employers offer remote or hybrid options, but availability depends on the company's policies and the specific job requirements, such as attention to detail and familiarity with authorization procedures.

What are some common challenges Authorization Assistants face when working with insurance providers?

Authorization Assistants often encounter challenges such as navigating complex insurance policies, managing frequent updates to coverage requirements, and communicating effectively with both healthcare providers and insurance representatives. Timely follow-ups and resolving discrepancies in patient information can add to the workload. Developing strong organizational skills and staying current with payer guidelines are key to overcoming these obstacles and ensuring authorizations are obtained efficiently.

What does an Authorization Assistant do?

An Authorization Assistant is responsible for processing and verifying requests for authorizations, typically within healthcare, insurance, or administrative settings. They review documentation, ensure compliance with regulations, and communicate with clients, providers, or internal teams to obtain any necessary information. Their role is critical in ensuring that services, claims, or procedures are properly approved according to policy guidelines. Strong attention to detail and communication skills are essential for success in this position.

Do you need a degree to be a prior authorization specialist?

A prior authorization specialist typically does not need a college degree but should have relevant healthcare knowledge, strong communication skills, and familiarity with insurance policies and medical billing systems. Certification in medical billing or coding can enhance job prospects but is not always required.

Is prior authorization a stressful job?

As an Authorization Assistant, the role can be stressful at times due to the need for accuracy, attention to detail, and meeting strict deadlines when processing insurance approvals. The job often involves handling complex cases, managing multiple requests simultaneously, and working under time pressure, which can contribute to stress levels.

What are the key skills and qualifications needed to thrive as an Authorization Assistant, and why are they important?

To thrive as an Authorization Assistant, you need strong organizational skills, attention to detail, and a high school diploma or equivalent, with some employers preferring experience in healthcare administration. Familiarity with insurance verification systems, electronic medical records (EMRs), and authorization management software is typically required. Excellent communication, problem-solving, and multitasking abilities help you efficiently coordinate between providers, patients, and insurance companies. These skills are crucial for ensuring timely and accurate processing of authorizations, which supports patient care and organizational efficiency.

What skills do you need to be an authorization specialist?

An authorization specialist needs strong communication and organizational skills to manage patient or client information accurately. They should be familiar with healthcare or insurance systems, have attention to detail, and often require knowledge of relevant regulations and documentation procedures. Proficiency with computer software and data entry is also essential for efficient authorization processing.
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What are the most commonly searched types of Authorization jobs? The most popular types of Authorization jobs are:
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Authorization Assistant jobs near you

Prior Authorization Assistant

Integrated Resources INC

Milwaukee, WI

$18 - $23.50/hr

Contractor

Re-posted 27 days ago

Job description

Job Description

Duration: 3 to 6 months

Medicaid/Medicare background preferred but not required.

Job Description

Nature of Work:

This position provides assistance to the Prior Authorization Department. This position reports to the Prior Authorization Manager.

Duties and Responsibilities:

  • Duties listed below may vary in terms of importance and other duties may be added or eliminated as this position develops.
  • Essential Duties and Responsibilities:
  • Process and documents all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Client policies and procedures.
  • Contacts providers via phone or fax to request additional information or clarification as needed per established process.
  • Communicates effectively with customers/providers (both internally and externally) regarding the status of PA requests.
  • Enters PA requests into the prior authorization database , prepares documentation, and tasks to the appropriate staff member for clinical review.
  • Completes special projects as requested.

Marginal Functions:

Required Qualifications:

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • A combination of education, training and experience which provides the necessary knowledge, skills, and abilities as listed below will be considered:
  • Ability to communicate effectively both verbally and in writing.
  • Knowledge of general business practices
  • Detail oriented and organized work ethic.
  • Ability to work independently as well as in a team environment.
  • Ability to use a personal computer and Microsoft Office software applications, including Word and Excel.
  • Knowledge of appropriate telephone etiquette and general business practices

Desirable Qualifications:

  • Previous experience in a clinical environment.
  • Previous experience working in managed health care setting or insurance environment.
  • Knowledge of Medical Terminology.
  • Knowledge of additional Microsoft Office software such as PowerPoint.

Physical Demands:

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • Must be able to communicate with members, providers, and staff in an effective manner via the telephone and in person.
  • Must be able to communicate in writing and understand written materials of a complicated manner.
  • Must be able to use a computer terminal to input and access information in a timely manner.
  • Must be able to work in a fast-paced environment.
  • More than 50% of the time, employee will be working at a desk, with a PC terminal.

Work Conditions/Environment:

Additional Information

All your information will be kept confidential according to EEO guidelines.

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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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