Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Authorization Specialist. We are a 100% remote team supporting our clients across the United States! See us at . Job Focus Responsible for obtaining prior authorizations for facility services based on assigned specialty or clinic area. This position will secure the prior authorization and notify the rendering party in the timeliest manner possible so patients can receive necessary care and services with the least delay. Responsible for answering patient calls, providing outgoing patient communication regarding financial obligations and authorization status. Responsible for patient estimation, benefit education, and payment processing. The individual job focus may include all or only a portion of this job description, as defined by the Patient Financial Services Manager Primary/Essential Expectations For Success: Accurately, efficiently and timely work prior authorization requests-referrals Receive request for prior authorizations through the electronic health record (EHR) and/or via phone, email or fax and ensure that they are properly and closely tracked and monitored Process referrals and submit medical records to insurance carriers to expedite prior authorization processes Manage correspondence with insurance companies, physicians, specialist and patients as needed, including documenting in the EHR as appropriate Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed Review accuracy and completeness of information requested and ensure that all supporting documents are present Review denials and follow up with provider to obtain medically necessary information to submit an appeal of the denial Prioritize the incoming authorizations by level of urgency and date of service Secure patient information in accordance with Quadris Client policy/procedures Other duties as assigned Monitors WQs, and resolves accounts in a timely manner Stay up to date on insurance company policies and procedures related to prior authorizations Physical Environment: Prolonged periods of sitting at a desk and working on a computer Must be able to lift 15 pounds at one time Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations Skills Needed to Be Successful: Maintains compliance with regulations and laws applicable to job Ability to communicate clearly and concisely, both in writing and verbally Professional level of communication with video, phone, and email Utilizes a variety of strategies or approaches to communicate effectively with others Ability to explain and manage priorities efficiently to meet deadlines and productivity Produce with exceptional overall quality of tasks performed is a must Perform effectively with strong emphasis on multi-tasking in a fast-paced Organize and manage workload to meet expectations Core Talent Essentials: High School diploma or equivalent Minimum 2 years of experience with the referral/authorization process and interacting with insurance carriers Ability to work independently and within a team atmosphere. Self-motivated and passionate about our mission and values of quality work Must have professional level skills in MS products such as Excel, Word, Power Point Must be able to type proficiently and with an effective pace Advanced application of business/office standard processes and technical applications