Share Email Opening Title Authorization/Eligibility Specialist - NSC  EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.   Description   JOB SUMMARY: The Authorization/Eligibility specialist works within the practice as a liaison between the Centralized Billing Office, physicians, and patients. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to verify eligibility of patient insurance, and obtain prior authorizations for procedures.   JOB RESPONSIBILITES: Obtains authorizations for ancillary tests and medical procedures. Responsible for coordinating and processing of all patient referrals including specialty and ancillary services. Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date. Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills. Performs eligibility checks on members as necessary by telephone or electronically. Follows procedures for proper authorization and processing of all referral services. Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices. Communicates with patient and practice to ensure follow through with referrals. Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines. Completes all administrative functions related with referral activities in an efficient manner. Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system. Responsible for monitoring all referral reports not received and follow up in a timely manner. Performs duties in honest and ethical manner. Perform other duties as assigned.         Category Business Support   Exempt/Non-Exempt Non-Exempt   Location North Suffolk Cardiology - Cardiology   Full-Time/Part-Time Full-Time   Position Requirements REQUIRED QUALIFICATIONS: High School Diploma/GED minimum. Three (3) years of administrative experience in a medical office setting. Prior pre-authorization process experience. Strong organizational and communication skills (both verbal and written). Excellent typing skills and friendly telephone etiquette. Microsoft Office proficiency. PREFERRED QUALIFICATIONS: EMR experience. Experience with managed care companies. Familiarity with medical terminology, CPT procedure codes, and ICD-10 codes.       Shift Days   Tags   Salary Range   Position Authorization/Eligibility Specialist - NSC   Open Date 2/16/2023   This position is currently not accepting applications. To search for an open position, please go to http://SBADMINISTRATIVESERVICESLLC.appone.com WE ALSO RECOMMEND Other Jobs Within Same Category Medical Record Specialist in Commack, NY Posted on: 4/22/2025 [Apply Now] Patient Navigator-Island Fertility in Commack, NY Posted on: 4/22/2025 [Apply Now] Insurance Benefits Verification Specialist in Commack, NY Posted on: 4/22/2025 [Apply Now] Authorization/Referral Specialist in Commack, NY Posted on: 4/22/2025 [Apply Now] Medical Coder in Commack, NY Posted on: 4/15/2025 [Apply Now] Other Jobs Within 60 Miles IT Project Manager-Stony Brook Medicine in Smithtown, New York Posted on: 5/12/2025 [Apply Now] Registered Nurse- Fertility in Commack, NY Posted on: 4/22/2025 [Apply Now] LPN in Commack, NY Posted on: 4/25/2025 [Apply Now] RN Supervisor- Cardiology in East Setauket, NY Posted on: 4/18/2025 [Apply Now] LPN-Cardiology in East Setauket, NY Posted on: 4/18/2025 [Apply Now] Follow us

 

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