BILLING AUTHORIZATION SPECIALIST at TRI-CITY CARDIOLOGY CONSULTANTS PC

Mesa, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Mar, 26

Salary

23.05

Posted On

17 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Eligibility Verification, Insurance Authorization, Communication Skills, ICD and CPT Codes Knowledge, Billing Practices, Critical Thinking, Multi-tasking, Data Entry, Customer Service, Financial Policy Explanation, Demographic Updating, Problem Resolution, Appointment Scheduling, Documentation, Insurance Information Management, Peer-to-Peer Requests

Industry

Medical Practices

Description

Job Details Job Location: Administration - Mesa, AZ 85205 Position Type: Full Time Salary Range: $17.40 - $23.05 Hourly If you are seeking to join a stable and established organization with high employee and patient satisfaction ratings, then Tri-City Cardiology is for you! Tri-City Cardiology has been serving the healthcare needs of the East Valley for over 40 years. We are searching for an Authorization Specialist to join our team! If you enjoy working in a fast-paced environment for a company that truly cares about the service provided to their patients and putting quality care first, this may be an ideal position for you! Position Location: East Mesa - Main and Power Schedule: Monday - Friday Days Pay: $19.00 - $21.00 per hour TCC PERKS!!! Immediate Holiday Pay Annual Movie Night – invite your family too! Years of Service Awards Reward & Recognition Program! Medical Benefit as low as $30.89/per pay-period Benefits begin first of the month following hire POSITION SUMMARY This position provides daily support for the financial services of our patients. Incumbents perform daily verification of patient financial information, call patients for notification of out-of-pocket (up-front cash) obligations based upon information provided by the verification process prior to check-in for the visit. ESSENTIAL FUNCTIONS Verifies patient eligibility with insurance companies and third party vendors. Obtains authorizations (MedSolutions, Navinet, AIM, etc.) for office visits, testing, cardiac rehabilitation, and any other outside facility procedure requiring authorizations and/or referral in a timely manner. Answers all incoming calls, updating demographic and insurance information. Explains TCC’s financial policy to patients and discusses financial responsibilities including co-pays, coinsurances, deductibles and time of service payments. Documents all conversations to assist front office with collections. Assists other departments with adding correct insurance information into patient charts. Ensures physician documentation supports payer requirements for authorization processing. Ensures follow through on peer-to-peer requests. Creates appeal letters when necessary. Schedules PET and Nuclear appointments after reviewing financial responsibilities with patient. Qualifications MINIMUM QUALIFICATIONS Education/Experience/Licenses/Certifications High school diploma or GED. Skills/Knowledge/Ability 40 wpm typing Demonstrated knowledge of ICD and CPT codes, billing practices and policies/procedures. Knowledge of basic computer and math skills. Demonstrated critical thinking ability in order to resolve problems and carry out instructions. Ability to multi task. Excellent verbal and written communication skills presented in an effective, clear, calm, friendly and professional manner. Ability to effectively communicate to all internal and external customers. Manages tasks in a timely fashion. Ability to read and interpret documents. PREFERRED QUALIFICATIONS Two to five years of experience with insurance companies preferred. Eligibility All employees must be able to provide proof of their identity and their right to work in the United States. In addition to fostering a positive work environment with internal career growth opportunities for our employees, we offer a generous comprehensive Total Rewards Package that includes: Competitive wages Monday-Friday work schedules Health, Dental & Vision Coverage (1st of the month following date of hire)* 401(k) retirement plan* Paid Time Off (PTO)* Paid Sick Leave (PSL) 7 Company Paid Holidays* 100% Company Paid Life Insurance* Supplemental Insurance* Employee Assistance Program *Available for full-time, regular employees of Tri-City Cardiology after meeting certain eligibility requirements Tri-City Cardiology is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or veteran status or any other characteristic protected by applicable federal, state, or local law. It is our intention that all qualified applicants be given equal employment opportunity and that selection decisions be based on job-related factors. For more information about career opportunities with Tri-City Cardiology, please visit our website: www.tricitycardiology.com About Tri-City Cardiology At Tri-City Cardiology, patient satisfaction is a top priority. Our team of physicians and staff are dedicated to providing high quality care and outstanding patient service so that every encounter is a positive experience! To maintain the highest degree of patient confidence, the practice relies on the Press Ganey system for scoring patient satisfaction. Each of our board-certified physicians are dedicated to bringing only the best cardiovascular care to their patients based on clinical guidelines established by their specialty boards and fellowship programs. Each one is a leader in his or her field of specialty, many earning the distinction of Top Doctor recognition by Phoenix Magazine since the practice was established in 1979. As graduates from some of the nations leading medical schools and fellowship programs, the Tri-City Cardiology team of physicians enjoys a national reputation for excellence and achievement. Tri-City Cardiology has a vision to be among the best providers of cardiovascular care in the entire country and be a place where employees want to work, patients want to receive care and physicians want to practice. Consistent with our vision, we constantly strive to improve our employee satisfaction. Tri-City Cardiology has been voted a Top Place to Work by the Phoenix Business Journal. Annual employee satisfaction surveys are conducted to obtain feedback on how we can continue to make Tri-City Cardiology the best place to work.

Responsibilities

The Authorization Specialist verifies patient eligibility with insurance companies and obtains necessary authorizations for various medical services. They also handle incoming calls, update patient information, and explain financial responsibilities to patients.