Authorization Administrator - TEKsystems

Authorization Administrator

Frederick, MD  | $18 USD/hour | After 6 months opportunity to work a hybrid schedule!

A Day in the Role:

• Obtains authorization from payer’s case manager for services ordered/requested for prospects/ referrals in a timely manner.
• Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email.
• Obtains additional pre-certification as needed. Consults with the agency as needed for all private insurance referrals and documents/communicates via the software application in a timely manner.
• Serves as a liaison between the branch location and the payer on a regular basis.
• Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner.
• Accesses authorizations via email, telephone, fax, and/or on-line application in the most efficient and timely manner.
• Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
• Problem solves independently before referring issues to the Supervisor/Manager for resolution.
• Performs eligibility and or similar, comparable, or related duties as may be required or assigned

Qualifications:

• 2+ years experience in Medical Administration, Customer Service, Data entry, or the passion to learn!
• Diploma or GED required

Benefits of this Role:

• Opportunity to work for one of the top three Healthcare Organization in the DMV area
• Work with a friendly team
• Helpful and supportive leadership and executives
• Great Benefits – Take advantage of a Blue Cross Blue Shield benefits package (Dental, vision, 401k)
  • Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms.  If eligible, the benefits available for this temporary role may include the following:
  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
• Top Local Company –Join the largest employer and hospital in Frederick, MD
• Publicly Traded – Enjoy the stability of working for a publicly traded business
• Best-In-Class Training – This client hires based on character, not just skillset as skills can be trained
• Growth Opportunities – Look forward to the opportunity to cross-train and chase internal promotions

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.