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Company Name : Epic Care
Location : Antioch, CA 94531
Position : Authorization Specialist
Job Description : At Epic Care, we strive to meet every challenge with confident and compassionate C.A.R.E. As a multi-specialty healthcare provider, we’re committed to providing high quality, personalized, value-driven care to our patients.
We believe exceptional care and service begins with exceptional partnerships, like you! To help us fulfill our mission we work to offer our employees growing benefits and career opportunities to support their personal needs and professional development.
Our company culture is open and vibrant and we’re committed to the professional growth of our team members. If you’re looking for a place that values passion, integrity, thinking big, and a desire to learn, Epic Care is the organization you!
We are currently seeking an Authorization Specialist to work with our dedicated team of health care providers in our growing multi-specialty practice in the San Francisco East Bay.
The Authorization Specialist is responsible for managing all aspects of the authorization process including responding to clinician requests in a timely manner, collecting appropriate patient information from clinicians, working closely with insurance companies for approvals and tracking authorizations in process for timely completion. Effectively managing this process is vital to the flow of patient care.
Prepare and submit request for authorization of services provided to our customers, including initial authorization, extension or subsequent authorization requests
Track status of authorization request and follows up with payer to ensure authorization is granted, paying close attention to authorization date spans and service codes.
Follow up with clinicians if addition information is needed to process the authorization request.
Perform timely review of assigned WQs to ascertain next steps; prioritizing requests based on due date, stat, urgent, etc. Monitor and process external order WQs
Review patient chart for MD orders to determine services/CPTs/HCPCs and reasons for requests.
Enter authorized services into system and all notes pertaining to phone calls
Provide communication for sites/providers via email, phone and/or in-basket
Maintain E-fax folder; import medical guidelines via E-scan into EPIC
Other duties as assigned.
Certificate Medical Billing or Insurance – Preferred
A strong applicant must be capable of working independently, able to multitask, work well under pressure, have excellent communication skills and possess a positive can do attitude.
As a valued Epic Care employee, you’re eligible for a number of perks and benefits, including:
Benefits:
Medical coverage options through Boon Chapman (Aetna Network) including Health Savings Account options.
Dental coverage through Principal
Vision coverage through Superior
EMPLOYER PAID LIFE & AD&D INSURANCE
401K and 401K Matching
FSA to reimburse yourself for eligible out-of-pocket medical, dependent care and commuter expenses.
EMPLOYEE ASSISTANCE PROGRAM (EAP) Life presents complex challenges. If the unexpected happens, you want to know that you and your family have simple solutions to help you cope with the stress and life changes that may result.
11 days PTO in the first year of employment plus 9 paid federal holidays, increase to 16 days PTO starting at year two of employment.
LIFEMART DISCOUNT PROGRAM take advantage of LifeMart, a FREE benefit that offers great discounts on the things you want most—in one convenient location: Computers and Electronics Theme Parks, Vacation Packages, Car Rentals, and Hotels, Gifts and Retail Shopping, Child and Senior Care Products and Services, Movie Tickets and Video Rentals,
SoFi at WORK STUDENT LOAN PROGRAM
NO-COST CREDIT UNION SERVICES THROUGH PACIFIC SERVICE CREDIT UNION
Perks:
Flexible work from home options for qualified roles
Monthly home internet/phone reimbursement
Bond over company-wide out-of-the-box events and fun activities with your team
Employee Recognition programs
Employee Referral Bonus programs
Work in convenient locations throughout the San Francisco East Bay Area, an excellent place to maintain an active independent or family lifestyle. You will also be able to enjoy nearby destinations such as San Francisco, Napa Valley wine country, Lake Tahoe, and Yosemite.
When you join Epic Care, you will enjoy the many amenities that the San Francisco Bay Area has to offer for those who enjoy cosmopolitan sophistication, outstanding climate and unlimited professional and avocational opportunities.
All offers of Employment at Epic Care are contingent upon successful completion of a background screen, reference check, and drug screen, as well as submission of proof of Covid-19 vaccination records (one dose of a one-dose vaccine or two doses of a two-dose vaccine) + a booster for eligible individuals or a valid medical or religious exemption in accordance with the order issued by the California Department of Public Health on August 5, 2021 – updated December 22, 2021: State Public Health Officer Order .
This post is listed Under California jobs
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