Authorization Specialist

Full Time
Remote
Posted Today
Job description

We are looking for a talented and driven Authorization Specialist to join our team. This position is primarily a full-time remote position Monday – Friday but will need to be willing to travel and attend job-related events in the Chicagoland area as needed.

As part of our Authorization team, you will help us impact the lives of our kiddos by helping ensure Insurance carrier authorizations requests and eligibility verifications are completed prior to the date of service for the patient. Gracent is seeking an Authorization Specialist to perform administrative and billing support in conjunction with managing medical authorization requests and confirming client insurance eligibility. You will serve as a partner to our providers and billing teams to ensure timely appropriate billing. In this position, the Authorization Specialist is expected to demonstrate outstanding customer service skills during every interaction. The Auth Specialist works closely with providers and payors responding timely to inquiries in efforts to resolve authorization and eligibility questions/issues.

Does this sound like you?

  • Aggregates data from providers and submits applications for authorization based on payor requirements.
  • Tracks status with the payors to ensure timely scheduling of clients and follows up with inquiries from providers
  • Comfortable with clerical and data processing tasks of a routine but varied nature in conjunction with moderate but proficient computer skills.
  • Solid computer skills, EMR experience strongly preferred -Must be proficient in typing, possess the ability to operate computer, copy/fax machine
  • Strong, professional, and courteous interpersonal and communication skills.
  • Knowledge of medical insurance preferred
  • Works with management to identify issues and opportunities for improvement in process.
  • A self-starter that can initiate and perform tasks without continuous direction.
  • Ability to think critically, identify issues with a solution-oriented approach.

On a given day, you will find yourself:

  • A prior authorization specialist assists patients who need treatment requiring insurance carrier pre-authorization.
  • They confirm the requirements and data needed for approval of the authorization, obtain the required information from the service provider, and liaise with insurance companies for prior authorization approval.
  • Ensuring new authorizations are submitted to the correct payor timely and follow-up/track authorizations in process at the payor to ensure timely approval before the date the patient is scheduled to be seen by a Gracent Provider.
  • The Authorization specialist maintains the highest standards of customer service excellence.
  • Responsible for a variety of duties including obtaining insurance authorization and referrals, timely follow up with payors and providers, Assist in additional billing/authorization related requests/projects

The benefits we will provide you with:

  • Resources: As part of our Billing team, you will have a deep catalog of resources and materials and team of experienced colleagues to work with and learn from
  • Mentorship: You will get exposure to many areas of the business, develop strong relationships with our team, and thrive in a supportive and fun environment.
  • Paid time off (for full-time employees)
  • Flexible scheduling
  • 401(k) with company match
  • Health, dental, and vision insurance (for full-time employees)
  • Teladoc subscription (for full and part time employees, available day 1)
  • Paid holidays (for full-time employees)
  • Calm app membership
  • We do not just encourage our teams to speak openly to management, make suggestions, and leave feedback, we empower them to do so

About us & our interview process

Gracent is the parent company of North Shore Pediatric Therapy in Illinois and Pine Cone Therapies in Texas. Together we operate 12 centers (and counting!) and spend our days ensuring we are providing quality, compassionate care to our kiddos with developmental needs. We provide the support and leadership for Authorization, Credentialing, Billing operations so that our centers can focus on the care they provide.

We believe it is important for you us all to get to know each other. After you apply, you can expect to hear from someone on our talent team with the next steps, which may include multiple video interviews with a variety of your future co-workers in different disciplines.

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