Authorization Specialist

Description:

Job Title: Authorization Specialist

Department: Patient Access

Reports To: Authorization Supervisor

Job Grade: 3

Summary of Responsibilities

At UHS, Authorization Specialists are responsible for the timely processing of prior authorization requests from our clients, with a high attention to detail and a strong sense of urgency. Our clients depend on UHS to collaborate with worker's compensation carriers, employers and internal UHS departments in order to provide accurate results with the highest level of customer service.

Adheres to all HIPAA/state/federal guidelines for communication regarding patient health information (PHI).
Using analytical thinking skills and effective communication, obtain authorizations for scheduled services for all clients.
Promptly handles escalated claims to ensure short turn-around times in other departments by understanding the "bigger picture" and valuing teamwork.
Troubleshoot, escalate and resolve complex claims with missing or inadequate information by using analytical thinking skills.
Comprehend and adhere to documented protocols with the intent to drive quality and value across the company.
Establishes rapport and credibility with contacts by providing excellent customer service in a professional and respectful manner through cross-departmental collaboration.
Understands the importance of maintaining minimal levels of pending claims, striving for improvement in pending levels with a high degree of assertiveness and determination.
Documentation of charge/claim information through the use of multiple systems and online resources with a high level of accuracy.
Requirements:

Required Qualifications, Skills, Knowledge:

High school diploma. College degree is not required, but some college preferred.
Knowledge of Windows, Powerpoint, Word and Excel or similar programs required.
Strong keyboarding skills - fast and accurate 50 WPM with a 97% accuracy.
Investigative, curious and problem-solving mindset with the ability to multi-task.
Mature, patient, and able to appropriately handle difficult situations.
Able to handle high workload volume timely and accurately.
Must have cheerful, pleasant disposition and enthusiasm for the position.
Excellent data entry skills and an above average attention to detail.
Able to work independently. Must be reliable and a self-starter.
Salary commensurate with experience.