Authorization Specialist at AQUA DERMATOLOGY MANAGEMENT LLC

, , United States -

Full Time

Start Date

Immediate

Expiry Date

25 May, 26

Salary

0.0

Posted On

24 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Authorization, Patient Benefits, Out-of-Pocket Costs Calculation, ICD-10 Coding, CPT Coding, HIPAA Regulations, Insurance Payers, Fee Schedule Reimbursement, Communication, Organization, Multi-tasking, Prioritization, Customer Service, Confidentiality, Computer Skills

Industry

Hospitals and Health Care

Description

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. ESSENTIAL FUNCTIONS: * 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. COMPETENCIES: * 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. EDUCATION & EXPERIENCE: * 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. We offer competitive salaries and benefits: * Medical, Dental, and Vision are available after 30 days of hire * Short-term disability and life insurance, as well as many ancillary options. * 401 (k) available after 90 days of hire * Excellent growth and advancement opportunities * Discounts on service

Responsibilities

The Authorization Specialist will verify current and accurate patient insurance information and work with insurance companies to obtain necessary authorizations for services. Key duties include verifying patient benefits, calculating out-of-pocket costs, obtaining and tracking authorizations, and inputting relevant coding information.