Authorization Specialist
State University of New York Upstate Medical University
Verona
20
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Azienda: State University of New York Upstate Medical University Verona
Minimum Qualifications: Associates Degree and three years relevant patient financial/insurance services experience (preferably in a healthcare setting) or equivalent combination of education and experience.
Working knowledge of medical terminology, familiarity with medical coding and written/oral communication skills required.
Excellent problem solving skills, computer and keyboarding skills required.
This position requires strong knowledge of ICD, CPT, and J codes to effectively communicate all information to insurance carriers.
Ability to maintain good public relations with patients, families, co-workers and other individuals as necessary.
Preferred Qualifications: Prior experience working with ambulatory patient care administrative functions, collecting/analyzing data, organizing appropriate record keeping systems and outside agencies such as insurance carriers, CMS, billing companies and/or other support agencies preferred.
Knowledge of medical billing requirements and ability to recognize insurance fraud/abuse strongly preferred.
Experience with medicationreimbursement, medications, physician orders and insurance claim submission.
Experience with healthcare insurance prior authorization/coding and performing insurance carrier/managed care review preferred.
Work Days: Monday- Friday 8:30am-5pm
✔ State University of New York Upstate Medical University