Ancillary Advantage, Inc.
is a National leader in providing turnkey solutions for dispensing orthopaedic durable medical equipment (DME)programs and on-site prescription medications for orthopaedic physician practices. Ancillary Advantage manages all aspects of the program for the physician-client, including but not limited to: inventory management, proper product fitting and adjustment, patient education, claim pre-certification and authorization, billing paperwork management, and collection services.
With over a decade of experience, our programs have become an integral part of practices looking to increase their ancillary revenues. Since 1999, the professionals at Ancillary Advantage have effectively managed and created opportunities for over 500 physicians nationwide.
The key to our success is simple! Enhance Patient Outcomes, Enhanced Practice Income. We understand that patient outcomes are the key to a successful practice’s income.
Ancillary Advantage is an Equal Employment Opportunity Employer and a Drug-Free Workforce. We offer a competitive salary and benefits package.
Job Description:
The Authorization Specialist is responsible for accurate and timely authorization/pre-certification and verification of benefits with insurance payers. This is a fulltime temp-to-hire position.
Duties and Responsibilities:
· Perform quality control on new accounts and charge orders per Ancillary Advantage policies and procedures.
· Obtain daily coversheets or paperwork for accounts to be worked or entered into billing system.
· Work as a team with DME Coordinators to insure accurate and timely selection of open charge orders.
· Review assigned payer sites for medical policy changes, manual updates and provider bulletins.
· Review and verify all insurance requests within 24-hours of receipt.
· Communicate process or payer requirements/changes to field employee personnel.
· Demonstrate a strong working knowledge of billing system functions to effectively execute job duties.
· Strong working knowledge of ICD-9, CPT, and HCPCS codes and HIPAA laws.
· Prepare adjustments for A/R for approval and processing.
Qualifications:
· High School diploma or equivalent required.
· 1-3 years current experience in medical authorization/pre-certification and verification of benefits for self-pay, private insurance, and government programs required.
· DME experience preferred.
Specific Skills:
· Above average interpersonal communication skills required: ability to handle customer complaints and work with customers on collections; ability to work well with center personnel and associates.
· Highly developed attention to detail and organization skills critical; ability to manage multiple tasks and meet deadlines; ability to cross-train to other functions as necessary.
· Ability to write professional correspondence via letters or email.
· Basic mathematical skills.
· Working knowledge of business and communication software including MS Office (Word, Excel, PowerPoint, and other related programs) and general business equipment (facsimile, copier, printer, etc.).
To Apply:
To be seriously considered for this exceptional opportunity that can change your future, please submit the following information specifying “Authorization Specialist”in the subject line to careers@ancillaryadvantage.com :
Your response will be held in the strictest confidence. Please also visit our website at www.ancillaryadvantage.com .