Medical Insurance Authorization Specialist

Job Description

Job Description

Description :

We are currently seeking a highly organized and detail-oriented Medical Insurance Authorization Specialist to join our team.

The ideal candidate will have a strong background in medical insurance authorization, excellent communication skills, and the ability to work well under pressure. This position plays a crucial role in ensuring that patients receive the necessary approvals for their medical treatments.

Cancer Care Associates of York has been an independent practice for over 45 years, serving the York, PA, community with comprehensive oncology and hematology care.

Check out our website, www.cancercareyork.com.

Responsibilities :

• Reviews all incoming treatment and imaging orders from providers.
• Prioritizes incoming authorization requests according to urgency.
• Obtains accurate authorization via payer website or by phone.
• Follows up regularly on pending cases, and informs provider timely of pending case.
• Accurately documents all information pertaining to authorizations.
• Maintains individual payer files to include up to date requirements needed to successfully obtain authorizations.
• Confirms accuracy of CPT and ICD-10 diagnoses in the treatment / imaging order.
• Contacts patients to discuss authorization status.
• Schedules peer to peer reviews as needed with appropriate provider.
• Appeals any denials according to payer requirements.
• Answers billing department phone calls.
• Maintains regular and punctual attendance.
• Complies with all practice policies and procedures including CCAY’s Code of Conduct.

What we look for...

What we offer...

Requirements :

Required Job-related Experience :

To apply, please submit your resume and a brief cover letter detailing your relevant experience and interest in the position. We look forward to reviewing your application.