Urology office is looking for a qualified and experienced Authorization Specialist in our fast-paced out-patient urology clinic. This position could be filled in either Gilbert or Phoenix.

Schedule: Full-time, Monday through Friday day shift position.

Enter patient demographic including insurance into the computer system. Works patient accounts out 3-5 days. Determine authorization status by confirming in computer and chart previous notation regarding expiration date(s) and confirming drug(s) for treatment including injections. Provide the Benefits Coordinator with any new information on insurance coverage and/or new drugs added to protocols. Confirm the correct insurance from review of computer and chart. Obtain authorization for patient visits and treatment in the office prior to DOS. Record in chart and in computer the number of visits, detailed description of the authorization, the expiration date, and name of the insurance carrier. Recheck authorization(s) every 6 months if no activity has occurred with treatment. Run reports of authorizations that are terming prior to treatments. Complete working knowledge of all insurance company requirements as they relate to authorization.

Knowledge and Skills:

Knowledge of insurance company’s procedures and policies. Knowledge of governmental, legal and regulatory provisions related to HIPAA. Knowledge of chemotherapy related drugs and supplies utilized. Knowledge of diagnostic testing and radiation procedures. Knowledge of CPT, ICD-9, HCPCS coding. Knowledge of basic mathematics.

Education and Experience:

Minimum of 2 years authorizations experience.

We offer a competitive salary and a comprehensive benefit package including health/dental/vision and life insurance, 401K, and a caring work environment. We are an E.O.E.