Authorization Specialist

Apply directly or send your resume to recruiting@assembly.health

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 Physician RCM Executives.

What you'll do

  • Performs daily activities of billing and auditing of accounts to ensure accurate claim data includes prior authorization information, monitors accounts for expiring authorizations, and accounts that require renewal of authorization.
  • 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.
  • Performs other related duties as required or assigned.

What we're looking for

  • High School Diploma required; college degree preferred.
  • 2+ years of revenue cycle experience in authorizations required. Physical Therapy, Orthopedic, and Joint Injection specialty knowledge highly preferred.
  • Experience with Athena highly preferred.
  • 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.)
  • Good analytical skills and demonstrated attention to 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.

Why join the team?

  • 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.

The compensation range for this position is $19 - $24 per hour. Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected range for this position reflects these considerations and may vary accordingly. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

Application

Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Elevate your financial performance with Assembly
Get Started