What are the responsibilities and job description for the PAR III/ Authorization Specialist position at OSU Physicians?
OSU Physicians, Inc.
What is OSU Physicians all about?
We believe that being engaged and sharing in a larger purpose at work is instrumental to the employee experience. “Tradition, determination, teamwork, purpose, compassion, community, pride, integrity”….these are just a few words that our employees use to describe what it feels like to embody the “Buckeye Spirit” and work for our organization.
Our over 100 physician practices embody the spirit of teamwork with passionate care for our patients and each other. Our teams are diverse in employees, thoughts, and ideas bringing the full spectrum of a collaborative culture to the big picture – TEAMWORK!
Sound like something you are seeking in your next career adventure? We invite you to keep reading.
What will you be doing?
Acts as a lead and subject matter expert in a billing office for Authorization denials. Uses thorough knowledge of professional claims, professional insurance billing, provider credentialing/enrollment and medical terminology to complete multiple tasks including performing the full range of duties within the department on a rotational or specialization basis as needed.
Duties and Responsibilities include but are not limited to:
- Provides problem resolution to authorization denials and follow-up issues as needed.
- Acts as a resource for colleagues with less experience to identify and resolve denials. Makes recommendations to management for resolution on any delays.
- Understands and performs all aspects of the billing life cycle; which includes insurance follow-up & collections, refunds, denials, and charge and payment postings.
- Reviews, verifies, obtains and corrects patient demographics and insurance information, medical diagnosis, laboratory and other diagnostic services information, hospital service, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of patient bills, and eligibility of coverage.
- Coordinates and analyzes EOB’s for denials and irregularities, institutes appropriate actions, and reprocess claims in accordance with Company policies and procedures
What are we looking for in our next new hire?
- High School diploma or equivalent with four or more years of experience.
- Experience with a computerized billing system.
- Experience with Microsoft Word and Excel.
- Ability to effectively communicate both verbally and in writing.
- High level of interpersonal skills to handle sensitive and confidential situations with poise, tact and diplomacy.
- Works independently with minimal guidance.
- Has in-depth conceptual and practical knowledge in revenue cycle.
- Analytical ability to gather and interpret data and develop, recommend, and implement solutions.
- Preferences: Experience with EPIC; experience in a high volume central business office. Knowledgeable with Ohio payors and authorization requirements & process.
What do we offer?
Benefits! It's all about choices. We know that having options and robust benefit plans are important to you. That's why here at OSU Physicians, we offer our employees a flexible, competitive benefit package. Full-time benefits start for individuals working a minimum of 30 hours per week, as well as some benefits available to employees working as little as 20 hours a week. Some of our excellent benefits options and perks include:
- Diverse and Affordable Healthcare Choices: Coverage begins on your First Day of Employment; includes Medical, Dental, Vision and Prescription Drug Programs.
- Outpatient clinic settings with day shift hours, Monday through Friday.
- Generous Paid Time-Off: Allowing a true work-life balance starting at 18 days per year and 11 paid holidays.
- Competitive compensation and career ladder opportunities
- Retirement Plan: Company contribution of 7.5% to your retirement plan in which you are fully vested from your first day of employment.
- Flexible Spending Accounts (Healthcare and Dependent Care).
- Paid Parental Leave Program
- Tuition Reimbursement Program
- We offer the Lifestyle Spending Account (LSA) as part of our commitment to wellness. OSUP offers eligible employees to use the LSA benefit to reimburse personal expense to health, fitness, family, emotional, and social wellness up to $125 quarterly.