Authorization Specialist

SafeRide Health

San Antonio, TX, US
  • Job Type: Full-Time
  • Function: Life Sciences R&D/Engineering
  • Post Date: 05/12/2021
  • Website: www.saferidehealth.com
  • Company Address: 6125 Washington Boulevard, 2nd Floor, Culver City, CA, 90232

About SafeRide Health

SafeRide Health is a platform that delivers medical transport (via Lyft, certified wheelchair fleets or ambulance) to streamline care coordination and improve patient outcomes.

Job Description

We are seeking an experienced Authorization Specialist to join our team. This position is responsible for obtaining pre-authorizations for our health plan members traveling out of their service area to obtain medical services. This position will work closely with health plans, a diverse member population and with internal departments to ensure all authorizations are received and posted in a timely and efficient manner.

Primary Responsibilities

  • Request, track and obtain pre-authorization of services from health plans for members traveling outside of their service area for medical services

  • Request, follow up and secure prior-authorizations prior to services being performed

  • Communicate pre-authorization approvals directly with health plan members and Travel Department in a timely manner

  • Maintains a level of productivity suitable for the department

  • Clearly documents all communications and contacts with health plans, members and medical facilities

  • Verify appointment dates and time with medical facilities and ensure they coincide with with pre-authorizations details

  • Other duties as assigned

Required Education and Experience

  • High school diploma or equivalent

  • Minimum of one (1) year of medical prior authorization experience

  • Minimum of one (1) year of prior in-bound Call Center experience, heavy phone volume

  • Data entry required and/or experience in a fast-paced, high-level customer service oriented environment

  • Project tracking and documentation

  • Experience with HIPAA regulations

Preferred Education and Experience

  • Some college preferred

  • Knowledge of Medicaid NEMT guidelines

  • Bilingual Spanish

Skills

  • Outstanding problem-solving skills and ability to use soft skills in a high stress environment

  • Possess a high level of empathy with the ability to work in a positive manner with members, vendors and health plans

  • Extremely high work ethic with a focus on member satisfaction

  • Efficient in managing large amounts of data

  • Ability to meet deadlines with maximum efficiency

  • Strong communication skills (both verbal and written) and demonstrated ability to communicate, present, and influence effectively in-person, via email, and over the phone

  • Ability to work with culturally diverse populations

  • Type a minimum of 35wpm

  • Ability to adapt to unforeseen circumstances quickly

  • Ability to work independently and with internal and external teams

Job Requirements

  • Must be able to pass criminal background record check

  • Must be US Citizen

  • Ability to work flexible shifts

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

  • 401(k)

  • 401(k) matching

  • Dental insurance

  • Disability insurance

  • Flexible spending account

  • Health insurance

  • Life insurance

  • Paid time off

  • Retirement plan

  • Vision insurance

Schedule:

  • Monday to Friday

Ability to Commute/Relocate:

  • San Antonio, TX (Required)

Application Question(s):

  • Please indicate your salary requirements. Applications with "negotiable" or left blank will not be considered.

  • Please confirm you are willing to work a flexible schedule that may include evenings and or weekend by copying and pasting the following:

Education:

  • High school or equivalent (Preferred)

Experience:

  • prior authorization: 1 year (Required)

  • in-bound Call Center: 1 year (Preferred)

  • Project tracking and documentation: 1 year (Preferred)

  • Knowledge of Medicaid NEMT guidelines: 1 year (Preferred)

  • HIPAA regulations: 1 year (Required)

Language:

  • Spanish (Preferred)

Work Location:

  • One location

COVID-19 Precaution(s):

  • Remote interview process

  • Personal protective equipment provided or required

  • Temperature screenings

  • Social distancing guidelines in place

  • Virtual meetings

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Disclaimer: Local Candidates Only
This company does NOT accept candidates from outside recruiting firms. Agency contacts are not welcome.