Authorization Specialist Job at Chicago ENT, Chicago, IL

YkhwNEkyNjVxREJZRHk0VGVyY3kyMzN1N1E9PQ==
  • Chicago ENT
  • Chicago, IL

Job Description

AUTHORIZATION SPECIALIST

Our highly professional Authorization Specialist is responsible for pre-certification and pre-authorization for procedures, treatment(s), and testing. The Authorization Specialist has a high proficiency for communicating internally as well as with patients and their families regarding the needs/status of prior authorization. This position reports to the Practice Administrator.

 

PRIMARY RESPONSIBILITIES

· Works directly with the insurance companies, Chicago ENT staff/providers, and external referring staff/providers to ensure an efficient authorization process.

· Daily monitors schedules and orders to begin prior authorization.

· Accurately verifies patient insurance/benefits before beginning prior authorization.

· Communicates plan limitations or non-covered services with ordering physician and patient.

· Monitors prior authorization from initiation to completion:

o Submits all ordered CPT and ICD-10 diagnosis codes.

o Submit necessary clinical information, coordinate peer-to-peer calls, and appeals denied authorizations.

o Once approved, alerts the patients and providers, and documents status on EMR appointment.

o Records prior authorization/reference numbers in the EMR for billing department.

· Answer, screen, respond, and rout phone queries in addition to checking voicemails, telephone encounters, faxes, and other inbound communication.

· Cooperate and maintain good rapport with admin staff, medical staff, other departments, and visitors.

· Review denied claims and proactively work with billing to identify processing issues and errors.

· Act as an expert to answer questions from patients and staff.

· Maintain a professional approach with confidentiality regarding all patient information.

· Performs other selected administrative duties as directed by physicians or Practice Administrator.

REQUIRED QUALIFICATIONS

· Two years of medical insurance verification and authorization experience.

· Excellent organizational skills and attention to detail.

· Excellent verbal and written communication, and interpersonal skills.

· Excellent time management skills.

· Strong analytical and problem-solving skills.

· Must have the ability to remain calm in stressful situations, to be flexible, to work well with many interruptions and to be able to multi-task.

· Must exhibit and promote a high level of customer service, hospitality, curiosity and friendliness towards all patients, employees, and the overall facility.

· Bilingual preferred.

· Proficiency in completing pre-authorizations via insurance web sites.

SUPERVISORY RESPONSIBILITY

This position has no supervisory responsibility.

CERTIFICATES, LICENSES, REGISTRATIONS

None required.

 

ENT is a drug-free environment and an Equal Opportunity Employer. We offer competitive salaries and benefits, including medical/dental, life and disability coverage, generous vision benefits, a 401 (k) plan with a match, vacation time, and weekends and major holidays off.

Job Tags

Full time, Flexible hours,

Similar Jobs

Gold Star TEFL Recruitment

Teach Young Learners English in Yangzhou Job at Gold Star TEFL Recruitment

 ...Highlights -Excellent salary: 22,000 RMB per month -Maximum of 24 teaching hours + 5 office hours per week -Flight allowance of 5,000 RMB...  ...-Teach young learners in the picturesque city of Yangzhou ESL Jobs in Yangzhou We are now holding interviews for English... 

Connect Staffing

STAND-UP HIGH REACH FORKLIFT Job at Connect Staffing

 ...MINIMUM 12 MONTHS OF RECENT STAND-UP REACH FORKLIFT EXPERIENCE Connect Staffing is seeking an experienced Stand-Up Reach Forklift Operator to fill an opening at a temperature-controlled warehouse in Jurupa Valley, CA for a global cold-chain logistics provider.... 

M&L Chrysler Dodge Jeep Ram

Auto Body Technician Job at M&L Chrysler Dodge Jeep Ram

 ...M&L CDJR Collision Center is the premier collision center in the greater Triad area. Due to tremendous growth we are in need of a Body Shop Technician. Qualified candidates will share our passion for great customer service and have a drive to go above and beyond the minimum... 

Joni and Friends

Social Media Content Coordinator Job at Joni and Friends

 ...Duties Under the supervision of the Social Media Supervisor , support the overall objectives of Joni and Friends Marketing department...  ...hybrid position (Mon, Tue and Thu in the office; Wed and Fri remote) Prior to applying for any position with Joni and Friends,... 

Enterprise Mobility

Summer 2026 Management Trainee Intern- Middletown and Goshen, NY Job at Enterprise Mobility

 ...build valuable business and leadership skills. For a university/college student, the real-world professional experience you'll receive during...  ...fun. This is a temporary full time position during the summer of 2026 with the hourly rate of pay of $19.50 / hour....