Authorization Specialist

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an Authorization Specialist for a contract assignment. The primary responsibility is to manage authorization requests within the EMR system following payer and state guidelines. The specialist will collaborate with clinic staff to ensure precise documentation and provide feedback to improve authorization processes.

Key Responsibilities

• Submit authorization requests timely within EMR following specific guidelines.
• Partner with front desk staff to ensure complete documentation for submission.
• Provide feedback to improve authorization or verification processes.
• Respond to authorization-related queries effectively.
• Address denials timely and prevent further denials through feedback.
• Verify insurance information accurately for same day or walk-in patients.
• Secure authorizations for Workers Compensation patients before treatment.
• Complete batch eligibility requests regularly and follow-up.
• Assist with training for both new and existing A&V team members.
• Maintain professional relationships with teammates and vendors.
• Run reports to monitor authorization and benefits accurately.
• Perform additional duties as assigned by leadership.

Skills

• Strong authorization experience.
• Ability to collaborate effectively with clinic staff and vendors.
• Proficient in EMR systems and data reporting.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.
• We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview: With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

• As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

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