Authorization Specialist/Scheduler Full Time

Job Summary :

This associate will greet patients and visitors, providing direction and assistance. They will schedule all sleep procedures. They will work closely with referring providers and insurers to acquire accurate insurance eligibility, pre-certification and authorization information.

Job Description

Essential Responsibilities:

• Schedules all sleep procedures and distributes pre-test forms and educational material. 
• Maintains the schedule. 
• Facilitates re-scheduling, cancellations, and no-shows. 
• Answers and maintains scheduling phone and messages. 
• Monitors fax machine.  Is fluent in Epic EMR and MyChart.
• Acquires and verifies patient insurance. 
• Determines pre-certification requirements. 
• Applies for authorizations. 
• Is comfortable with the many insurance platforms and algorithms used to determine eligibility. 
• Stays informed on insurance authorization changes and updates. 
• Maintains the pre-authorization spreadsheet.
• Welcomes patients, visitors, physicians, staff, salespersons and the public to the department by; introducing self, explaining what they can expect (when, why and how).
• Provide response to their concerns.
• Promote a cheerful environment.
• Make guests comfortable. 
• Inform staff of arrived patients. 
• Assists in the smooth flow of the waiting room to clinical areas.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the associate for this job. Duties, responsibilities and activities may change at any time with or without notice.

Education and Experience Required: 

1. High School Diploma /equivalent or commercial school graduate.

2. Medical Terminology is preferred.

3.  Authorization experience is preferred.

4.   One year of medical business office experience and/or sleep medicine is preferred.

5.  Familiarity with Epic EMR preferred.

Work Shift :

1st Shift (United States of America)

Scheduled Weekly Hours :

40