Authorization Specialist

If you are seeking to join a stable and established organization with high employee and patient satisfaction ratings, then Tri-City Cardiology is for you! Tri-City Cardiology has been serving the healthcare needs of the East Valley for over 40 years.

We are searching for an Authorization Specialist to join our team! If you enjoy working in a fast-paced environment for a company that truly cares about the service provided to their patients and putting quality care first, this may be an ideal position for you!

• Position Location: East Mesa - Main and Power
• Schedule: Monday - Friday Days
• Pay: $19.00 - $21.00 per hour

TCC PERKS!!!

• Immediate Holiday Pay
• Annual Movie Night invite your family too!
• Years of Service Awards
• Reward & Recognition Program!
• Medical Benefit as low as $33.58/per pay-period
• Benefits begin first of the month following hire

POSITION SUMMARY

This position provides daily support for the financial services of our patients. Incumbents perform daily verification of patient financial information, call patients for notification of out-of-pocket (up-front cash) obligations based upon information provided by the verification process prior to check-in for the visit.

ESSENTIAL FUNCTIONS

Verifies patient eligibility with insurance companies and third party vendors.

Obtains authorizations (MedSolutions, Navinet, AIM, etc.) for office visits, testing, cardiac rehabilitation, and any other outside facility procedure requiring authorizations and/or referral in a timely manner.

Answers all incoming calls, updating demographic and insurance information.

Explains TCC's financial policy to patients and discusses financial responsibilities including co-pays, coinsurances, deductibles and time of service payments. Documents all conversations to assist front office with collections.

Assists other departments with adding correct insurance information into patient charts. Ensures physician documentation supports payer requirements for authorization processing. Ensures follow through on peer-to-peer requests. Creates appeal letters when necessary.

Schedules PET and Nuclear appointments after reviewing financial responsibilities with patient.

MINIMUM QUALIFICATIONS

Education/Experience/Licenses/Certifications

High school diploma or GED.

Skills/Knowledge/Ability

40 wpm typing

Demonstrated knowledge of ICD and CPT codes, billing practices and policies/procedures. Knowledge of basic computer and math skills.

Demonstrated critical thinking ability in order to resolve problems and carry out instructions. Ability to multi-task.

Excellent verbal and written communication skills presented in an effective, clear, calm, friendly and professional manner.

Ability to effectively communicate to all internal and external customers. Manages tasks in a timely fashion.

Ability to read and interpret documents.

PREFERRED QUALIFICATIONS

Two to five years of experience with insurance companies preferred.

Eligibility

All employees must be able to provide proof of their identity and their right to work in the United States.

In addition to fostering a positive work environment with internal career growth opportunities for our employees, we offer a generous comprehensive Total Rewards Package that includes:

• Competitive wages
• Monday-Friday work schedules
• Health, Dental & Vision Coverage (1st of the month following date of hire)*
• 401(k) retirement plan*
• Paid Time Off (PTO)*
• Paid Sick Leave (PSL)
• 7 Company Paid Holidays*
• 100% Company Paid Life Insurance*
• Supplemental Insurance*
• Employee Assistance Program

Tri-City Cardiology is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or veteran status or any other characteristic protected by applicable federal, state, or local law. It is our intention that all qualified applicants be given equal employment opportunity and that selection decisions be based on job-related factors.

For more information about career opportunities with Tri-City Cardiology, please visit our website: www.tricitycardiology.com