Medical Insurance Authorization Specialist

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, treating patients in the York, PA community for their oncology and hematology needs.   

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...

• Someone with knowledge of procedure authorization and its direct impact on the practice’s revenue cycle 
• Someone with the understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations      effectively 
• Someone who has knowledge of CPT and ICD-10 codes 
• Someone with excellent computer skills including Excel, Word, and Internet use 
• Someone who is detail oriented with above average organizational skills 
• Someone who plans and prioritizes to meet deadlines  
• Someone with excellent customer service skills; communicates clearly and effectively 
• Someone who has the ability to multitask and remain focused while managing a high-volume, time-sensitive workload

What we offer...

• Competitive Compensation & Generous Paid Time Off
• 401(K) & Profit Sharing Plan w/ generous company contribution
• Affordable Medical, Dental and Vision Plans
• Life Insurance Plan - company paid
• Employee Assistance Program
• Short & Long Term Disability Plans (voluntary)
• Consistent Day Schedule w/ no weekends, evenings or holidays

Requirements

•   High School Diploma or equivalent.

Required Job-related Experience:· 

• 2 years of experience in a medical related field required
• 2 years of medical authorization experience preferred

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.