Overview
Authorization Spec-CGMHSA Jobs in Birmingham, AL at Cooper Green
Authorization Spec-CGMHSA
Job ID: 15500
Functional Area: Health/Medical
Position Type: Full Time
Experience Required: Less than 1 year
Location: Birmingham, AL
Department: ACC-Patient Access
Education Required: High School Diploma or GED
Relocation Provided: No
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Position Description:
GENERAL SUMMARY
Under minimal supervision and according to CGMHSA established policies and procedures, provides a variety of specialized services in support of the operations of scheduling personnel and processes within the multiple clinic settings at Cooper Green. This role will comprise of a mix of traditional authorization specialist duties and insurance verification duties. The Authorization Specialist duties may include the assignments of daily reports, handling and troubleshooting day to day issues authorization specialist face, liaising specialty clinics and primary care providers, schedules referrals internally and externally, issue authorization number for services when appropriate, handles verification and precertification’s for insurance benefits and communicate with patients about patient specific referrals. Consistently demonstrates outstanding customer service to CGMHSA patients, visitors, physicians, and staff.
KEY RESPONSIBILITIES
1. Obtains and/or verifies patient demographic & insurance information, and updates appointment status in NextGen per NextGen standards.
2. Schedule patient referrals internally and externally.
3. Verifies information on referral is accurate and complete.
4. Obtain precertification through private insurance if applicable.
5. Notifies patients if a copayment is required for outside services.
6. Verifies enrollment of patients to Cooper Green.
7. Verifies insurance benefits.
8. Answers phone & take complete, accurate messages. Makes sure messages are routed to appropriate person in a timely manner.
9. Accurately schedules patient appointment with appropriate information and accuracy.
10. May perform additional duties as assigned by Authorization Supervisor.
11. Assist with reporting as needed.
12. Obtain appointment date/time for patients referred outside of CGMHSA.
13. Ensure that information entered into Nextgen is complete and accurate.
Position Requirements:
MINIMUM QUALIFICATIONS
Position requires a high school diploma or equivalent. College degree or relevant coursework may substitute for part of experience requirement. Familiar with medical terminology preferred. Professional telephone courtesy is a must. Candidates must have at least one year working in a medical practice setting. This position is responsible for ensuring that referrals are handled effectively and in a timely manner.
Must: (1) Attend all required course work assigned by management; (2) possess basic knowledge of medical terminology and advanced knowledge of PC applications, software, and database management; (3) possess exceptional telephone & customer service skills; and (4) be knowledgeable of English grammar & punctuation.
WORK ENVIRONMENT
This role may require lifting up to 50 lbs.
The work location for this role is onsite.
Cooper Green Mercy Health Services Authority is proud to be an AA/EOE/M/F/Vet/Disabled employer.
Title: Authorization Spec-CGMHSA
Company: Cooper Green
Location: Birmingham, AL
