Authorization Specialist - Business Office Location
This position is located at our Business Office in Birmingham, AL.
Summary:
Under general supervision is responsible for; insurance verification and eligibility determination based on patient's current insurance coverage, updating system with any changes, and maintaining accurate patient demographics.
Essential Duties and Responsibilities:
- Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate and timely manner.
- Ensures that intake information received from the site is accurate, noting any inconsistencies and resolving those by communicating with the sites.
- Verifies and notes benefits for all third party payers for coverage on each of the following services. Office visits co pays, deductibles, all IV /injectable drugs ( chemo and supportive), and maximum out of pocket. This will be completed for all primary and secondary insurances.
- Benefits will be noted in the system and returned (via interoffice mail or fax) to the site on a summary of patient liability form. Time allowed for intakes and liability forms shall be no more that two (2) business days.
- Discrepancies or significant coverage issues that are found will be immediately relayed (via phone and e mail) to the appropriate site and the Patient Financial Counselor.
- Assist in maintaining manuals, logs and other required documentation.
- Demonstrates an understanding for patient confidentiality in accordance with HIP AA and BHOA guidelines.
- Follows policies and procedures to contribute to the efficiency of the front offices.
- Covers for and assists the Patient Financial Counselors with intakes and other functions at the Business Office as requested.
Education and/or Experience:
- High School diploma or equivalent. Three (3) years of medical office experience with insurance procedures and patient interaction
- All newly hired must provide proof they have received the COVID-19 vaccination, in full, prior to their date of hire as a condition of new employment, unless otherwise exempted from this requirement by an approved accommodation pursuant to the interactive process. As applicable, new employees are required to, at the latest, begin compliance with this Policy during the pre-employment onboarding process. Alabama Oncology does not wish to obtain personal health information during the collection of information on this form or by any other means. EOE