Become an Assembler! We are looking for an Authorization Specialist to join our Physician RCM division. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further!  We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

This is a full-time, non-exempt position reporting to our Authorization Team Lead. The position is on-site in our Ashland, VA office.

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• Remotely access and monitor department schedules on an ongoing basis through the day for multiple outpatient hospital departments.
• Responsible for the timely submission of medical authorizations to cover physician and hospital services.
• Review clinical documentation and relay pertinent information to insurance companies to ensure all services are authorized.
• Document eligibility, benefits, and authorization information in accordance with established guidelines.
• Research patient accounts due to invalid and/or missing authorization information and correspond with clients, insurance companies, patients, to obtain the necessary information to ensure accurate, timely, and complete claims submissions.
• Verify prior authorization and/or pre-services requirements are met.
• Proactively manages and maintains all outstanding authorization accounts to increase billing of clean claims.
• Provide outstanding customer service to patients and develop and maintain positive working relationships with internal and external customers.
• Identify and report trends and prior authorization issues relating to billing and reimbursement.
• Document all account activity and correspond to inquiries, in a timely manner.
• Reviews accounts daily while meeting or exceeding all daily, weekly, and monthly goals.
• Communicates and works effectively with colleagues from other departments.
• Maintains confidentiality of all PHI.
• Perform other related duties as required or assigned.

• High School Diploma required; college degree preferred. At least one year of revenue cycle experience required.
• Knowledge and skillset to review technical billing (CMS 1500 / UB 04) components provided by Client Hospital accuracy. Make the necessary changes, as required, in accordance with billing laws.
• Maintain account integrity by documenting account activities to ensure audit trial.
• Computer literacy with spreadsheets, word-processing, and database software and/or business systems (Word, Excel, Outlook, etc.). Strong analytical skills and demonstrated detail.
• Knowledge of healthcare terminology
• Proficient with data entry and multi-tasking
• Strong communication skills: including written, grammar and verbal communication skills with ability to interact with all levels of an organization.
• Team player, problem-solver, and a self-starter attitude.
• Excellent time management skills and ability to adhere to schedules/deadlines.
• Ability to function well in a fast-paced and at times stressful environment.
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.