Overview:
Work Schedule: In-Person Full- Time Monday - Friday, 8 am - 5 pm, no weekends or holidays.
Location: 5145 South College Rd Wilmington, North Carolina 28412
The Authorization Specialist is responsible for obtaining authorization as required for all scheduled appointments and outgoing testing referrals. Team members provide clinicals to insurance companies and follow up on any pending or denied authorization. Team members have an understanding of insurance online portals and call centers, able to request authorizations across multiple venues. Team member will communicate directly with clinics, insurance companies and patients to provide updates, financial estimates, or self-pay quotes.
Come join a remarkable team where quality care meets quality service, in every dimension, every time.
At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Qualifications:

• Education: High School Diploma or GED, required.
• Experience: Two years in medical office or referrals, preferred.

ADDITIONAL SKILLS (REQUIRED):

• Knowledge of medical office software for the following: updating patient demographic information and processing referrals and medical records.
• Requires excellent verbal communication skills
• Must be able to work with changing priorities.
• Requires excellent organizational, problem solving and critical thinking skills
• Must be able to interact with individuals of all cultures and levels of authority.
• Experience handling PHI.
• Must possess initiative while functioning as part of a remote team
• Additional Skills (preferred):
• An understanding of CPT and ICD- CM coding processes
• Proficient with Insurance Authorization Portals.
• Basic medical terminology required, knowledge can be obtained through formal classes or work experience. High level of working knowledge of EPIC systems. Detailed knowledge of multiple payors’ billing requirements. Familiarity of coding requirements for practice specialty.
• Proficient in Microsoft office: Teams, Excel and Word.
  Responsibilities:

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of “First Do No Harm”.

Please refer the Job description for details